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Course/Class Proposal
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* Indicates required question
Email
*
Your email
Name (First, Last)
*
Your answer
Address
*
Your answer
Phone number
*
Your answer
I am interested in teaching/instructing:
*
Your answer
Potential Course Title
*
Your answer
Instructor Background:
Your answer
Targeted Audience:
*
Choose
Parent/Child Pair
Adult
Youth Student
Teenage Student
Adult w/Disablities
Classroom/Facility Requirements (Check all that apply)
*
Fields
Classroom
Table/Chairs
Gym
Kitchen Lab
Auditorium
Other
Online
Required
Day/Time available to teach the course/class:
Your answer
Additional Information:
Your answer
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