ࡱ> SUT` "bjbj 2F 8T4 SZZpppppp$ ha#n1pp11pp KKK1dppK1KK*vpN p JdB~T#0SJ,##v#vprK*spppppppS1111           Manchester Community College Division of Continuing Education Credit-Free Programs NEW COURSE PROPOSAL FORM Instructor Information: Name _______________________________________________Date: _________________ Address_________________________________________City/Town ________________________ Zip ___________ Telephone: Day (_____)________________ Evening: (_____)_________________ Cell(_____)__________________ Email address: _________________________________________ ..... Are you a CT State employee? Yes or No Can students contact you directly? ____ (If yes, please circle all that apply): Day phone Evening phone E-mail Scheduling Information: * Available to teach (please circle all that apply): Mornings Afternoons Evenings * Days Available (please circle all that apply): Monday Tuesday Wednesday Thursday Friday Saturday Sunday * Number of Meetings: ____ Length of Each Meeting: ________Time Preferred: __________Total Hours_____ * Preferred Dates: _________________________________________________________________________________ * Second Choice Dates (for scheduling flexibility):_____________________________________________________ * Willing to teach at (please circle all that apply): MCC South Windsor High School East Hartford Community Cultural Center Your Facility If your facility, please supply business name & address:_________________________________________ Course Title: Short and descriptive, or catchy and intriguing! __________________________________________________________________________________________________ Catalog Description: 60-100 words; should include WHO the audience is; WHAT they will learn; and HOW they will learn it. (MCC reserves the right to edit title and description as needed.) _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ Audience for this Course: Please tell us who you think will be interested in this course. Is there data about the market? How can we best market this course? _________________________________________________________________________________________________ Outline/Syllabus: PLEASE ATTACH A COURSE OUTLINE/SYLLABUS, WHICH INCLUDES LEARNING OBJECTIVES Handouts: Please include the handouts for this course (if any). Be aware that most published materials have copyright restrictions. You may place items on reserve in the library for students to access. Biography: 30-40 words highlighting your personal experience as it directly relates to this program. If you hold a license, degree, or certification that qualifies you to teach this course, please note and provide us a copy of the license, degree, or certification. (MCC reserves the right to edit biography as needed.) ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ Required Text: Please do not use a required text unless absolutely necessary. We will order any required textbooks from the MCC Bookstore. If youd like, you may suggest a recommended text in your course description, but these texts cannot be ordered through the MCC Bookstore; students are advised to shop for them at their local bookstores. If your text is recommended, please do not complete this section, but rather note the title and author in the course description. Title: _________________________________________________Author(s): __________________________________ Publisher: ______________________________________ISBN #: __________________________ Price: __________ Materials Fee: The course fee (tuition) and your compensation for teaching (stipend/salary) are not the materials fee. Students pay the course fee directly to the College; the College pays instructors to teach; and some instructors provide materials to students for an additional fee. This fee is paid directly to the instructor by the student, usually at the first class. A materials fee cannot be charged to students unless: A) it has been discussed with the Director and B) it has been listed in the catalog course description. If you have already consulted with the Director regarding your need to charge a materials fee, please estimate the dollar amount (per student) which would be payable to you by the student for supplies that you will be providing to them for their personal use (i.e., art kits, specialized equipment, film, etc.). $________ This is a per student fee and will be published in the catalog. Note: If you are buying in bulk, please provide us with the total amount that you will need to collect from the group in order to cover materials. $____________ Pre-class Happenings? Are there any preliminary steps for your students prior to class start (questionnaires, supply lists, reading, etc.)? If so, please attach your instructions, and we will mail the information to your students. It is important to note that many students register at the last moment and therefore may not receive the necessary information. Please plan accordingly. Prerequisites: Credit-Free courses generally do not have prerequisites, which reduce the number of potential students. However, if there are prerequisites, please state:____________________________________ Ideal Class Size: ______ Please tell us if there is an ideal class size and why. Also, please alert us if there is a maximum acceptable class size and why. __________________________________________________________ Facilities: If you need special accommodations (i.e., tables rather than traditional desks; carpeting; etc.), please specify: _____________________________________________________________________________________ Audio/Visual Needs: ________________________________________________________________________ Please return this form as indicated below depending on your teaching interests: Computer ProgramsOther Credit-Free ProgramsBruce Manning MCC Continuing Education P.O. Box 1046 MS #16 Manchester, CT 06045-1046 BManning@mcc.commnet.eduStephen Campiglio MCC Continuing Education P.O. 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