CommUniversity

TEACHING COURSES

To propose a course for CommUniversity, instructors may fill out the online application form below and click the submit button. We will contact in November to inform you whether your course was selected for the next program and, if so, what next steps will follow.

Instructor Information Title: (Mr. Mrs. Dr. Rev.)
First & Last Name:
Home Street Address:
City, State & Zip Code:
Home Number:
Affiliation:
Professional Title:
Daytime Phone:
Fax Number (if available):
Email Address:
Highest Degree Earned:
Degree Granting Institution:

Administrative Information (please complete right column) Do you wish to limit your class size? Yes, max# No
Do you require a minimum number of more than 5 students to teach the course? Yes, min# No
Will students have additional costs for supplies? Yes, cost No
Will students need to bring anything to class such as special clothing, exercise mats, etc.? Yes, No
Will any text books be required?
Yes No
Please list classroom equipment you will need (computer, internet access, audio-video equipment, tables, mats, ect.):
1. Sunday:
2. Sunday:
3. Sunday:
4. Sunday:
Will you require photocopying other than your syllabus? Yes, number of pages per student No

Course Information (please complete the text areas) Course title:

Please tell us whether this is a 4-week or 2-week course.
4 Weeks 2 Weeks

Course Description for use in CommUniversity brochure. Please limit to 50 words. (Longer descriptions must be edited by us.)
(Maximum characters: 250)
You have characters left.

Please list your qualifications for teaching the proposed course.

Please input the code for verification purposes:
6DC2

Thank you for offering your expertise and time to our program!