Non-Credit Course Proposal Form
Name
*
First Name
Last Name
Email
*
example@example.com
Course Information
Course Title
*
Enter the name of your course as you want it to appear in the catalog.
Have you taught this class (or a similar class) before?
*
Yes
No
Course Description
*
Please provide a course description that can be used in the catalog and other marketing materials. At the end of this form you may attach a more detailed outline.
0/200
What is the delivery method for your course? Check all that apply.
*
Instruction/Lecture
Discussion
Interactive/Hands-on
Field Trips
Other
About how many participants would you consider to be the maximum for your class?
Number of class meetings within the course:
*
Ex: A course that meets twice a week for four weeks would be eight classes.
Length of each class:
*
1 hour
1.5 hours
2 hours
2.5+ hours
Other
Indicate any preference for days and times that your class will meet:
Ex Tuesdays and Thursdays from 4-5pm
When would you like to start your course?
Optional: Provide any additional information about scheduling your course.
If applicable, please describe any needs for technology, equipment, class meeting space, audio/visual, software, etc.
Please describe any materials needed for the course and the approximate cost.
Instructor Information
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter your phone number.
Instructor Bio
*
Please provide a summary that explains your experience and credentials demonstrating your qualifications to lead this course. This summary will also be used to promote the course. You are also encouraged to copy and paste your resume here or attach it below.
Attachments
File Upload - Instructor Resume
Browse Files
Drag and drop files here
Choose a file
Please attach your most recent resume or a more detailed summary of your experience, background, and qualifications.
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of
File Upload - Course Outline
Browse Files
Drag and drop files here
Choose a file
Optional: We will eventually require a course outline of what will be covered in your course. If available at this time please attach here.
Cancel
of
File Upload - Image
Browse Files
Drag and drop files here
Choose a file
Optional : Attach image for website, flyers, marketing.
Cancel
of
What's Next?
The information you have provided will be sent to the CCC Extended Learning Department for review and approval. You will receive communication once your proposal has been received and processed, along with any follow-up or clarifying questions. If you have any questions, please email ccc2community@coconino.edu.
Submit
Thank you!
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