Propose a Program

To make a request, complete the application and click the submit button. Once your application form has been received by our office, you will be contacted if you meet our criteria for teaching. Thank You!

Application:
Name:
Mailing Address:
City:
State:
Zip:
Work Phone:
Home Phone:
E-mail Address:
Course Subject:
Class Schedule:
Number of Sessions:
Time/Hours:
(e.g. 5:00-7:00 pm)

Provide background information on yourself and your credentials/qualifications for addressing this subject including any teaching experience or subject specific training you may have:
Why do you want to teach through Community Education?:
Highlight the benefit(s) of the class for the student:
List any items students should bring/wear or purchase at/before the first class:
Additional information:
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