READ THIS FIRST:
Do not press the ENTER key until you have filled out every field.
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Have you ever taught a Communiversity course before? Yes
No
(If not, you must schedule an interview with a Communiversity staff member.)
Name:
Address:
City, State & Zip:
Daytime
Telephone:
Evening
Telephone:
Fax Number:
E-mail Address:
Homepage URL:
List which phone number in the catalog? Day Phone
Evening Phone
Both
Neither
If you do not want your phone number listed, which number may we give out on request? Day Phone
Evening Phone
Both
Neither
List e-mail in catalog? Yes
No
Will you need assistance finding a place for this class? Yes
No
If not, where will the class meet?
If you do need a room, describe the type of facility you need:
Describe any audiovisual equipment you might need:
Cost of materials (must be approved by Communiversity)
and brief description:
(Material fees must be collected by convener. If you must have the material fee in advance of the first meeting, please contact our office for approval at 816-235-1448.)
If you are teaching the same class twice (e.g., Plaster Mask Making on September 22 and again on October 5), please fill out a time and date block below for each section of the course. If you are teaching two separate classes (e.g., Plaster Mask Making and Greek Mythology) please submit a separate form for each.
Section 1 Schedule
Day of the Week:
Calendar Date:
Time (From-To):
Class limit:
Number of times class will meet:
Section 2 Schedule (optional)
Day of the Week:
Calendar Date:
Time (From-To):
Class limit:
Number of times class will meet:
Please choose one: List all sections
Fill first section then open next
Short biography:
Would you like to have your bio included in the catalog? Yes
No
Course Title:
Do you want to use the same description you used in a previous semester? Yes
No
If so, which semester?
Course description:
Type a 30 to 60 word description of your proposed course. All descriptions are subject to editing.