Fillable OLLI Course Proposal Form

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OLLI Course Proposal Form

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The OLLI Course Proposal Form form is 2 pages long and contains:

  • 1 signature
  • 17 check-boxes
  • 21 other fields

Country of origin: US
File type: PDF

U.S.A. forms for California State University, Fresno

BROWSE CALIFORNIA STATE UNIVERSITY, FRESNO FORMS

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OLLICourseProposalForm–FresnoState
InstructorName____________________________________________________________________________________
Credentials,ifany(eg:PhD)___________________________________________________________________________
EmailAddress______________________________________________________________________________________
PreferredPhoneNumber____________________________________________________________________________
MailingAddress____________________________________________________________________________________
Whatisyourclassformat(checkone)
___DiscussionGroup
___LecturewithDiscussion
___SpecialInterestGroup
___Other:(tour,hands‐onclass)Pleaseexplain:_________________________________________________________
_________________________________________________________________________________________________
AvailableforwhichOLLITerm?
Fall(Sept‐Dec) ____ Spring(Feb‐May)____ Summer(Jun‐Jul)____
Dayoftheweekpreferred(check one)
M T W Th F
SecondChoiceOption(circleone)
M T W Th F
Pleaselistdatesinthetermtoavoidbecauseyouarenotavailable:_________________________________________
Approximatetimeofdaypreferred:_________________2
nd
Choice:__________________
LengthofCourse(inweeks)___________
Classesmeetfor90minutesaweekforupto6weeks.Whilewewillconsidercoursesrunninglongerthan6weeks,we
willdiscussyourproposedcourseoutlinewithyou.
Wouldyouliketobepaidorwillyouvolunteer?_________________________________________________________
Note:Allspecialinterestgroupsareleadbyvolunteers.
ProposedCourseTitle:
______________________________________________________________________________________________
______________________________________________________________________________________________
Briefcoursedescription:Pleaseprovideabrief(50wordsorless)descriptionofthecoursefortheOLLIcatalog.It
shouldclearlyexplainthecourse,enticememberstosignup,andindicateiffieldtrips,physicalactivityorspecialskills
arerequired.
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Specialmaterialsrequiredforthecourse(Pleaseindicatewhetherthestudentmustpurchasethesupplies/materials
andtheestimatedcostorifanadditionalfeeperpersonisrequiredandyouwillprovidethem)
__________________________________________________________________________________________________
Anyadditionalinformationyou’dliketoadd:____________________________________________________________
__________________________________________________________________________________________________
_________________________________________________________________________________________
SignatureDate
CourseproposalswillbereviewedbytheOLLIcurriculumcommitteeinconjunctionwithOLLIstaff.Wewillconfirm
receiptofallsubmissionsandletyouknowwhetheryourcoursewasacceptedornot.Thankyou!

Returnthisformto:jiwagner@csufresno.edu
Ormailto:
OLLI
5245N.BackerAvenueM/SPB5
Fresno,CA93740
559‐278‐0008
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OLLI Course Proposal Form

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Completed 14 May 2020

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