Senior College of Greater Des Moines

Course Proposal – Please complete all information and submit by October 17, 2017.

Revised July 2017

Today’s date ______FOR CURRICULUM COMMITTEE USE:

CLASS SPONSOR______

Proposed title ______

Instructor name ______

Mailing address ______

City, State, Zip Code ______

Phone ______ext ______Cell phone ______

E-mail ______

Proposed term □ Spring Year: □ Fall Year:

Please enter: Number of sessions: ____ Length of each session: ____ minutes.

If the length of sessions will vary, provide the information needed to calculate the total contract hours.

Course description - please briefly describe your topic and course:

Pre-requisite to course, specify:

The Senior College includes a brief bio of the instructor in its advertising and the course catalog. Please describe your education and expertise, including your qualifications to teach this course.

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Instructor name Course title

Instructor Preferences & Requirements

Class day Mon. Tue. Wed. Thu. Fri. Sat. Sun.

Morning

Afternoon

Evening

Preferences for location/dates/other info:

The Senior College requires a minimum enrollment of 7 students per class.

Do you wish to limit the maximum number of students for this course?

no yes limit #

Classroom set-up

Classroom style, tables & chairs

Theater style, chairs only

Small group

Equipment needed

Projector & PC

Internet connection

Projector, document

Projector, overhead

Projector, movie/DVD

Podium

Dry erase board

Flip chart & easel

Microphone/sound system

Other, specify:

Other requirements

Software, specify:

Book required recommended

Cost:

Title:

Author:

Purchase prior to class

Purchase from instructor at class

Available at most libraries

Handouts, cost: $

(A cost estimate is needed to build into course tuition; instructors will be reimbursed actual expenses up to $2.00 per student for handouts upon submission of a receipt. Higher amounts will be considered on a case by case basis.)

Senior College students are sometimes interested in contacting the instructor prior to the first class. Please check if we have permission to release your:

Phone Cell phone E-mail

It is solely at your discretion if you choose to provide this information.

Senior college pays instructors a stipend of $40 per hour of instruction. Events may have a different pay structure.

Instructors sometimes chose to waive this stipend. If this is your choice, please check box □

While Senior College is a non-profit organization, students are charged reasonable fees that help cover expenses including the printing and distribution of the catalogs, advertising, contracted services, office expenses and instructors’ compensations.

Thank you for your interest in teaching for Senior College of Greater Des Moines. To submit, please complete this proposal, save the completed form to your computer, and then email as an attachment to OR print and mail the completed form to:

Pat Westphal, 4425 Kingman Blvd., Des Moines, Iowa 50311