Course Proposal Form Deadlines: Fall catalog (mid Sept-mid Dec): June 1st Winter catalog (mid Jan-March): October 1st Spring catalog (late April-June): February 1st Order Number First Name: * Last Name: * Address: * Address, Line 2: City: * State: * Zip Code: * Email Address: * Daytime Phone: * (include area code) Evening Phone (if different): (include area code) May we provide students with your telephone number(s) and/or email should they have questions? * Yes No Which number(s)/email can we provide students? Check all that apply. Day Evening Email If you have a website, please enter the URL here. Otherwise, leave blank. Course Name: * In which category does your class belong? * Arts & Crafts Computers & Technology Cooking & Foods Dance Family, Home & Garden Finance & Careers Fitness & Exercise Kids & Teens Mind, Body & Health Sports & Recreation Talks & Walks Words & Music Write a specific 50-100 word course description. Refer to the class capsules in the catalog for examples. * Put yourself in the student's shoes. What will students get out of the course? Why should they take this class? * Provide a biographic statement about yourself, your experience and why you are qualified to teach this class. * Days Available to Teach: * Mon Tue Wed Thu Fri Sat Sun Times Available: * Morning Afternoon Evening If you have specific date(s) or time(s) in mind, please list them here. You are applying for the FALL term: Sept. 19-Dec. 14. How long would each class be? One hour, two? Longer? * How many weeks would it take to teach the course? * Suggested course fee: Our fees tend to end in 4s or 9s. If you are providing materials, what is the fee per person? Please provide the cost per student for materials. Do not include this cost in the course fee. What is the MAXIMUM number of students you can have in the class? * MALT has a minimum of 4-5 students for the class to run Do you have any special classroom needs? (Internet, LCD projector, etc.) You may also submit a photo of yourself (a headshot or teaching) for us to use online and in our print catalog. Photos should be at least 1000 px x 1000 px to be used in print. Photo for possible inclusion in the catalog.