Faculty/Staff Program Request Form

In order to coordinate the scheduling of non-credit offerings, you are asked to provide the following information so that your program can be placed on the University’s non-credit calendar. The Continuing Education Department is available to assist you with the planning and delivery of your offerings. 

Would you like the Continuing Education Department to contact you to plan a class?
Yes   No
   
Class Name
Class Date
Class Time
Class Cost
Class Location
Class Contact Person
Brief Class Description
   
Name
Department
Phone Number
eMail
   

   
©