Institute for Adult Learning At Chesapeake College

Teaching Proposal -- Fall 2013
Due on or before March 15, 2013

Previous teaching experience or formal academic training are not required to lead Institute for Adult Learning courses. If you have mastery of a subject or have a particular skill or talent that you would like to share with other members, please complete the information below. If you would rather mail/fax this information, a PDF version of the form is also available.

Instructor Information
Name:

Address:

City, State, Zip:
   
Phone numbers:
Day     Evening 
E-Mail:

Course Title

Course Description (suitable for catalog)

Course Objectives (Please list at least 3 short objectives that you would expect your students to be able to demonstrate after taking your class)

Instructor's Background and Experience (As you would like to see it appear in our catalog)

Scheduling Information (please complete in full)
I am available to teach:

Feb & March   April & May   Sept & Oct   Nov & Dec  

Could you teach in another session if the time you prefer is not available in the next session? Yes     No

Length of course (Check all that apply):

8 weeks   6 weeks   5 weeks   4 weeks   2 weeks  

Time Period Preferences (please give at least 1st, 2nd and 3rd choices)

First Preference:

Second Preference:

Third Preference:

Other scheduling preferences:

Is there a limit to your class size?
 Yes      No
If yes, limitation on size of class:    Minimum    Maximum

Would you consider offering a field trip as part of your class? Yes     No

We request that instructors of lecture/discussion courses allow at least 30 students to register.

Would you be willing to teach a second session of this class if the first session fills?  Yes   No 
If so, when? 

Make-up classes will need to be arranged with the coordinator in the event of cancellation.

Special Equipment/Supplies (please select those required)

Computer VCR/TV
LCD Projector CD or Tape Player
Overhead Projector   Piano
Slide projector  

Other equipment (please specify):  

Would attendees need any special preparation prior to course?
(e.g. read a book for a discussion group)

Other suggestions:
I would like to suggest a course on

To be taught by

The Institute for Adult Learning does not pay our instructors. However a stipend of $125 will be issued to all instructors for classes that are four or more weeks in duration. For single or less than four 1 1/2 hour sessions a stipend of $30 per class will be issued to cover out-of-pocket expenses. Materials provided for the class may be reimbursed, but instructors should check with Anne Slater before purchasing items. An itemized receipt is required for reimbursement by Chesapeake College.

If you have a course description or outline available please email a copy to Anne Slater, or mail hard copy to Anne Slater, Chesapeake College, P.O. Box 8, Wye Mills, MD. 21679. If questions, call 410-827-5810.