COURSE PROPOSAL FORM

|The deadline for submitting course proposals for the

FALL 2014 term is Friday, May 16th. Fall term runs from September 2nd- December 13th.

If you know that you want to teach in the springof 2015, please feel free to send those proposals too.

Spring coursesrun from January 13- May 30th).

HOME FOOTBALL GAMES DATES ARE TO BE AVOIDED: Sept 20; Oct 18; Nov 1 and 15.

Instructor’s Contact Information

Instructor’s Name & UR ID #: ______

Contact phone: ______Email address: ______

Mailing Address (where you want pay check sent): ______

COURSE INFORMATION

Proposed Course Title: ______

For NEW courses, please submit a course outline as a separate document.

(This is a requirement to satisfy our SACS accreditation.)

______NEW ______EXISTING (offered before) Day(s) of the week offered: ______

Course Description(– no more than 35 words- if this is an existing course, please do NOT fill out the course description unless you want it changed):

Start date: ______End date: ______

Start time: ______am/pm End time: ______am/pm

Are there any dates that will be omitted? ______How many times will the class meet? ______

Please list dates for every class meeting: ______

What is the minimum ______and maximum ______number of students you will teach?

Will the course be held on or off campus? _____ On-campus _____UR Downtown _____ Off-campus

If off-campus, where will the course be held (please include address)? ______

MEDIA OR AUDIO/VISUAL REQUEST (check all that apply)

_____a multi-media classroom (includes: computer, projector, screen, VCR, DVD, etc).

_____ if you have additional needs, please list them here:

Do students need to have special equipment to participate in the class, if so, what? ______

Please list your hourly rate for instruction: ______

Will the instructor need to be reimbursed for any course supplies or materials? _____YES _____ NO

If yes, what is the cost of reimbursement (for whole class or per student): ______

You will need to provide an itemized receipt(s) to receive reimbursement

Please list any other costs associated with the class: ______

Will you use the Print Shop for course handouts (only if 50+ pages/copy)? : ______YES _____ NO

Is there a textbook required for the course? ___ YES ___ NOISBN #: ______

If yes, what is the title of the text(s)? ______

What is the ISBN number of the textbook? ______

Do you have any additional classroom or course needs that have not been previously mentioned in this course proposal? ______

Please LIST one place other than the THINK AGAIN catalog where you would like to see your class advertised: ______

Please LIST one place where you plan to advertise your course: ______

Please list any additional information below:

Please return completed proposals to:

via e-mail to: Amy Kemp at

fax: (804) 289-8138

or mail to:Attn: Amy Kemp

School of Professional & Continuing Studies, Special Program Building 31, 2nd Floor,

28 Westhampton Way, University of Richmond, VA 23173.