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