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Program/Class Proposal Form
Program/Class Proposal Form
Are you interested in becoming a Community Education Instructor? Do you have a class proposal? If so please complete this form. Instructors will be notified once their class proposal has been accepted.
Class Proposal Due Dates
:
Fall Catalog – Proposals Due by the 2
nd
week in June
Winter/Spring Catalog – Proposals Due by the 1
st
week in November
Itasca Networks for Youth Guide – Proposals Due by February 1
st
Instructor Information
Instructors First Name:
*
Instructors Last Name:
*
Email:
*
Address:
*
Address:
City:
*
Zip:
*
State:
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AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
*
Phone:
*
Cell Phone:
What district would you like to teach at?
--
ISD 316 - Greenway Coleraine
ISD 317 - Deer River
ISD 318 - Grand Rapids
ISD 318 - Bigfork
ISD 319 - Nashwauk/Keewatin
Location does not matter
*
*
I am a current district employee:
Yes
No
If you are working with Youth, have you completed a background check with the district?
Yes
No
Class/Program Information
Course Title
*
Course Description (keep short, approximately 30-45 words):
*
Day(s):
*
Date(s):
*
Time:
*
Class Location (if you would like to use a school facility for this class/program type in "Request School Facility"):
*
Minimum # of Participants:
*
Maximum # of Participants:
*
Minimum Age Requirement:
Maximum Age Requirement:
Suggested Course Fee:
*
Materials Fee (if any):
Supplies Participant must bring to class:
Registration Information:
Registration Deadline:
*
Other Information:
Do you have a photo to describe this course? If yes please email it to
Yes
No
Send a copy of the completed form to this email address :
*
Indicates Required fields.
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