Name:   Date:
Address:
City:   State:   Zip:
Day Phone:   Evening Phone:
Email Address:
 
Specific Course Information

Suggested Title:

Course Description: (Briefly describe the course content.)

Outline What Your Students Will Learn: (Be specific)

What Teaching Methods Will You Use?

Target Audience (Who would take your class?)

Special Equipment Needed:

Have you taught this course or plan to teach this course at another school/college in Whatcom County? yes no

Instructor Information

Other courses you may be qualified to teach:

Describe your teaching experience:

Describe your background and expertise relating to the course you would like to teach:

Who may we contact as a reference concerning your teaching/expertise?