Fillable PERSONAL ENRICHMENT COURSE PROPOSAL FORM (Adirondack Community College)

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PERSONAL ENRICHMENT COURSE PROPOSAL FORM (Adirondack Community College)

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640 Bay Road, Queensbury, NY 12804
Phone: (518) 743-2238 * Fax: (518) 743-2318 * www.sunyacc.edu/Continuing-Ed
PERSONAL ENRICHMENT COURSE PROPOSAL FORM
In recognition of SUNY Adirondack’s mission of service to the community, the College provides a variety of
Community Outreach/Personal Enrichment short-term, non-credit courses and workshops designed to meet adult
needs and interests, at times convenient to adult lifestyles. These non-credit personal growth courses are open to
the general public regardless of previous educational background and which are offered with no exams, required
homework or grades.
Please fill out as completely as possible and attach any additional information that would be helpful to us as we
assess the appropriateness of this course in helping us serve the personal development needs of our community.
Date: Personal Information
Name:
Home/Cell Phone:
Address:
Business Phone:
Email:
Current Employer:
Position:
Proposed Course Information
Proposed Course Title:
Please write a brief description of the proposed course. (Attach an extra sheet if necessary.)
What do you consider to be the level of interest or need for this course? Describe the audience you wish to reach.
If this course is restricted to individuals with previous training or other special conditions, please explain.
H:\FORMS\Proposals Last Updated: 6/14/2018
Indicate any equipment, special facilities, or instructional supplies needed. (Office of Continuing
Education staff will arrange for audio/visual equipment and make copies of handouts.)
Please list any required student course materials, with estimated costs.
Do you have a preferred day and/or time to offer this course? If so, please indicate your top three choices below.
Number of Sessions:
Class Size: (Minimum is generally between 8 and 10.)
Minimum number of sessions
Ideal class size
Ideal number of session
Maximum class size
Maximum number of sessions
Length of session(s): (Sessions are generally 2 to 3 hours in length. This time allotment can be altered to suit
individual needs.)
Minimum length of each session
Ideal length of each session
Have you taught this course in the past?
Please describe your education and/or expertise relevant to instructing this course.
Please include a resume with your proposal. List the names, addresses, phone numbers and email addresses of
three references that are able to express opinions regarding your expertise in this area.
1.
2.
3.
H:\FORMS\Proposals Last Updated: 6/14/2018
Preferred time of day (Day/Evening)?
Preferred day of the week?
First Choice
Second Choice
Third Choice
Evening
No Preference
No Preference
No Preference
Yes
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PERSONAL ENRICHMENT COURSE PROPOSAL FORM (Adirondack Community College)

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Completed 20 September 2020

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