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Course Proposal Form

University of Louisiana Monroe

Department of Continuing Education and Professional Development

Course Proposal Form

First Name *

Last Name *

Email *

Phone

ULM email address (if employed at ULM)

@ulm.edu

Address:

Have you taught continuing education courses at ULM before?

Yes

If yes, please list the course title and year(s) the course was taught:

Please list the course that you would be interested in teaching at ULM under continuing education:

How many years have you been participating in your area of expertise?

Please elaborate on your experience, and explain why you feel you could teach a course in this area of expertise:

If applicable, do you have a certification in your area of expertise?

Please give a brief course description (including goals, topics, and possible projects):

Are there prerequisites for the class?

Yes

If yes, please explain:

Class Format:

Lecture

Discussion

Hands-On

Other

Other:

Classroom Set Up:

Computers for participants

Desks

Projector

Podium/chairs

Other

Other:

What is the maximum number of participants for the course?

Day(s) of the Week:

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Number of Sessions:

Class Start Time:

Class End Time:

Total Course Hours:

Textbook Title/Author, if required for the course:

Will students need supplies/equipment?

Yes

If yes, please list what will be needed

Please send an agenda or outline of the course along with your resume to ced@ulm.edu.

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