OLLI Study Group Worksheet:  Winter 2020
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Please confirm your dates, times, and location with your category coordinator and staff no later than Friday, August 30, 2019.
Deadline for this worksheet is Friday, August 30, 2019.
Name of Study Group *
Facilitator Name *
Facilitator Home Phone *
Facilitator Cell Phone *
Facilitator Work Phone
Facilitator Mailing Address *
Facilitator Email *
Facilitator Bio *
Additional Facilitators Information - include names, contact information, brief bios, and dates of presentations
Have you facilitated an OLLI Study Group before? *
Is this a new or repeat OLLI Study Group? *
Study Group Description (please include any required book purchases or pre-study group assignments) *
Please limit your description to 100 words
Please choose from the following days *
OLLI's Winter 2020 season begins January 13 and ends February 28, 2019.
Required
Please choose from the following times *
Required
Dates of the Study Group *
Please provide a date range (from dd/mm/yy to dd/mm/yy)
Number of Sessions *
Maximum Group Size *
Minimum Group Size *
Date and Time Flexibility *
Study Group Category *
Preferred Location *
Please indicate your first choice
Preferred Location *
Please indicate your Second choice
Course Technology *
Please consider your needs carefully, as we are unable to fulfill any last-minute requests.
Required
Questions?  Please call Bonnie Davis or Michelle Riggio at 309-677-3900
PLEASE PRINT A BACKUP COPY OF YOUR WORKSHEET !
TO PRINT THIS FORM, "RIGHT CLICK" YOUR MOUSE AND SELECT "PRINT" FROM THE POP-UP MENU.  IN CASE OF AN ONLINE ERROR, WE MAY NEED TO HAVE A BACKUP COPY OF THIS INFORMATION.  ONCE YOU HAVE PRINTED A COPY, PLEASE CLICK THE BLUE "SUBMIT" BUTTON BELOW.  THANK YOU SO MUCH!
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