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

Instructor's First Name:

Instructor's Last Name:

Email Address:

Address:

City:

State:

Phone:

Cell Phone:

What district would you like to teach at?

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

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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 mdebay@isd318.org

Yes No

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