Course Proposal Form

Fill out the form below. When finished click Submit. Be sure to follow the directions to the right.


Full Name:
Title/Position:
Phone:
Email:
Home Address:
District:
School:
   
Title of Proposal:
Intended Participants:
Learning Standards Addressed:
(content area and specific standard, if applicable)
Course Description:
Proposed Sessions,
Dates, and Times:
NOTE: For in-service course credit, the total number of hours must total 15 hours, i.e. 5 sessions @ 3 hours; 6 sessions @ 2 ½ hours, etc.
Proposed location:
(other than Purchase College)
   


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