Fillable R4.127 CourseProposal CE SLO Revised 201601

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R4.127 CourseProposal CE SLO Revised 201601

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3
000 MISSION COLLEGE BLVD, MS-13
SANTA CLARA, CA 95054
(408) 855-5106
COURSE PROPOSAL FORM
Instructor Contact Information
Name
Address
City/State
Zip Code
Phone
Alternate Phone:
Email:
Academic Background (Check one)
6 Years Experience
B.A.
M.A.
Ph. D.
Community College Credential
(Please attach a copy of your resume)
(Please complete all fields.)
Instructor Biography
(Be brief, to appear in print and online.)
Professional References
(minimum of 2 references)
1) Name
Institution/Company
Phone
Email
2) Name
Institution/Company
Phone
Email
Course Name
(Subject to Change)
Course Description
(Be brief, to appear in print and online. Please include key objectives and
course format.)
Class Format
(e.g. lecture, demonstration, excursion, web-based activity, etc.)
Course Student Learning Outcomes
Student Learning Outcomes point to the desired knowledge gained and skills acquired or
enhanced as a result of the course. SLOs are specific observable and measurable results
that are expected of the students’ abilities upon completion of a course. They describe a
student’s ability and skills using higher level thinking and ability to produce something that
requires application of what has been learned. (Ask: What knowledge or skill must be
applied by students in order to advance in this subject area? – Please list at least 3.)
1.
2.
3.
Marketing/Promotion Information:
List specific groups that would be interested in this class.
How do you plan on publicizing this class?
Would you be willing to promote this class through marketing and recruitment activites?
Yes No
If yes, describe how
Proposed Class Schedule
1
st
Choice:
Number of meetings
Hours per meeting
Day(s) of the week: MON TUES WED THU FRI SAT
Time (Start/End)
2
nd
Choice:
Number of meetings
Hours per meeting
Day(s) of the week: MON TUES WED THU FRI SAT
Time (Start/End)
3
rd
Choice:
Number of meetings
Hours per meeting
Day(s) of the week: MON TUES WED THU FRI SAT
Time (Start/End)
Classroom Requirements
(Subject to change, if not available)
Maximum Enrollment
Moveable Tablet Arm Desk
Tables and Chairs
Lecture Hall (fixed seating)
Multi-purpose room
Cooking Room
Other Specifications
Audio Visual Equipment Needs
Requirements for Class Participation
Materials Required (name of vendor, description of materials, cost, and quantity per student
Please send completed Course Proposal Form with any additional documents via:
Email: mc.comm_ed@wvm.edu
Fax: (408) 855-5480
Mailing Address:
Misison College Community Education
3000 Mission College Blvd, MS#13
Santa Clara, CA 95054
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R4.127 CourseProposal CE SLO Revised 201601

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Completed 17 February 2020

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