Proposal for VenturaCollege Community Education Class

71Day Road, VenturaCA 93003 (805) 654-6459

The following proposal indicates your desire to provide instruction in a Community Education class. This proposal represents a request for only the semester indicated; proposals are considered on a per-term basis. If the class is accepted, you will be notified by the Community Education Office to discuss the exact dates of instruction and your compensation. Submittal of this proposal does not imply a continuing relationship with the Ventura County Community College District.

Today’s Date Class To Be Held: Fall Spring Summer Year

Name E-mail Address

Address

Business Phone Home Phone Fax

Social Security: OR Tax ID Number

Are you an employee of the District? Yes No

Title of Proposed Class:

Number of Sessions Day (s) of the week:Time

Proposed Start Date Proposed End Date

Please note that we will make every effort to accommodate your proposed date(s) and

times; however, in case of rooms not being available, we may need to offer alternate choices.

Preferences

Weekend: Sat Morning Sat Afternoon Sun Morning Sun Afternoon

Weeknight: M T W ThFri

Student Learning Outcomes: By the end of this class, students will be able to

Description of Proposed Class

REV. 08/07

Description of Your Qualifications to Teach This Class: This information may be included in the marketing material. If you have a resume, you may attach it.

Please check off the types of instructional strategiesyou will use to teach this class:

Lecture/Discussion

Demonstration

Hands-on activities

Oral Drills

Field Trips

Guest Speakers

If you choose to market your own class, please provide the Community Education Office with a copy of your marketing materials.

If this proposal is accepted, you will be providing services as an Independent Contractor.

As such:

  • You will be responsible for providing all supplies for use in your class.
  • You will be paid on a per-project basis, normally within six weeks after the completion of your class.
  • All monies paid to you for services rendered will be taxable income. As an independent contractor, no deductions will be withheld from your check. All reportable income will appear on a Form 1099 as applicable to each tax year.
  • You and your employees are not covered under the general liability insurance, employee benefits or worker’s compensation insurance carried by the Ventura County Community College District.

If you are not a full or part-time employee of the Ventura County Community College District, please answer the following three questions to meet State Education Code requirements. A “yes” answer also requires an explanation in a separate document. Convictions do not necessarily disqualify you from teaching, but will be evaluated individually. By signing this document you are verifying that all statements are true. The answers to these questions are strictly confidential.

Have you ever been convicted of a sex or narcotic violation? YesNo

Have you ever been convicted of a felony? YesNo

Have you ever been convicted of a misdemeanor? YesNo

Should you have any questions about this proposal, please call theCommunity Education Office at (805) 654-6459.

Thank you for your time and interest in teaching through Ventura College Community Education.

______

Signature Date

Rev.08/07