Course Proposal Form - Belfast Senior College

First Name *

Last Name *

Phone Number *

Email Address *

Street Address *

City, State, Zip *

Proposed Course Title *

Course Description (as it might appear in the catalog) Please limit this to 150 words. We reserve the right to edit. *

Required text(s) and course materials *

Please note that required text(s) and course materials are purchased by each student, not Senior College. If you require a text, list the author, title, and ISBN if a specific edition is required. If you require course materials (e.g., art supplies) provide a list of those and stipulate whether you will supply the materials and the students will purchase them from you, or whether students must secure them on their own. Please include an estimated price for any purchase the student must make, or an exact amount if they are purchasing from you.

Class Size Limit

Usually only for art, language and small group discussion classes. If you do set a limit, the maximum you can allow would be appreciated.

Information on the instructor's experience and background: Please limit this to approximately 120 words. We reserve the right to edit. *

For use in the course catalog, please give us a sketch or summary of your educational background and personal experience that suggest why you are qualified to be able to teach this course or are particularly interested in the topic.

Session Preferences for Proposed Course *

Morning (9:30 - 11:30)

Afternoon (1:00 - 3:00)

Morning or Afternoon is fine with me

One day class (9:30 - 3:00)

Preferred Class Dates for One Day Class *

Please indicate dates you prefer, starting with the most preferred date.

Semester Preferences for Proposed Course *

Fall (6 weeks)

Winter (4 weeks)

Spring (6 weeks)

Summer (single day)

Fall, winter and spring Senior College courses are taught on Thursdays. The fall semester begins on the third Thursday in September, winter session on the third Thursday in January, and spring session on the third or fourth Thursday of March. Summer courses are all one-day seminars or workshops (9:30 - 3:00). One-day classes are also offered throughout the year. These may take place on any weekday. If offering a one-day class, please indicate in your proposal how long you would like the lunch break to be (anywhere from 1/2 hour to 1-1/2 hour).

Photocopying, if needed, will be paid for by Senior College. You are strongly encouraged, however, to email course handouts to your students. In cases where that will not work please indicate your planned/estimated copying.

Number of pages needing copying for the course:

Equipment needs (Check all that you think you will need) *

Please make every effort to avail yourself of the technology training offered, as we may need to pay extra if the tech supporter has to come in before or during your class. Please come in 30 minutes prior to the start of class to set up any equipment you might be using to assure your class runs smoothly. For additional questions about equipment provided by the Hutchinson Center you may contact UMaine Hutchinson Center Technology Coordinator Sam Overlock at 338-8032; samuel.overlock@maine.edu.

Other Equipment Needs

Classroom Configuration Preference *

Auditorium-style seating (rows of chairs)

Auditorium-style seating with tables (rows of tables and chairs)

Seminar seating (chairs around central table)

Seating arranged in a circle

Seating arranged in a U-shape or semicircle

Collection of tables with 4-6 students at each

Do you have other classroom configuration needs *

Yes

No

Please explain any other classroom configuration requirements. *

Would you like a tour of your classroom before the semester begins? *

Yes

No

Would you like technical training for the equipment you will be using, if any? *

Yes

No

Allow late registrations?

Yes, allow students to register after the first class.

No, prevent students from registering after the first class.

Any additional questions or comments for the curriculum committee?

The Senior College E-Newsletter

Yes, please sign me up for the e-newsletter.

No thanks, I'm already on e-news list.

No, thank you.

Would you like to receive our monthly e-news letter to keep up on what's new at the Senior College?

Note:

When posted for registration, all course descriptions are accompanied by a picture for marketing purposes - something that illustrates what the course is about

and that will attract students to the course. Images should be square or landscape orientation with the shortest dimension of the picture a minimum of 600 pixels.

If you can provide an image for your course, it will help us immensely. Email it to info@belfastseniorcollege.org with text that identifies the course.

* Required: Please check the box below to verify your human status.