Community Education Course Proposal

Wednesday, July 09, 2025

Thank you for your interest in teaching a community education course at UA - Pulaski Technical College. We are always looking for new class ideas and instructors. Once we receive this form, we will review your proposal and contact you to discuss.

Instructor Information

Instructor Name:

Address:

City/State/Zip Code:

Phone/Cell:

E-mail address:

Website (if applicable):

Instructor Fee to teach class:

Please include a brief biography of your talents related to this particular course.

Program Information

Proposed Course Title:

Program Description: (Please be as detailed as possible in your program description.)

What are the minimum and maximum number of students allowed in the class?

Will students need to bring their own supplies?

Yes

If yes, please list all the supplies students will need to bring in order to complete the class:

What is the materials fee (if any) per person?

Preferred Day(s) of the week to teach:

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Preferred Date(s) and Time(s) of the Class:

Total hours of the class:

Total number of sessions:

Amount of time per session:

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