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CONTINUING EDUCATION AND PROFESSIONAL DEVELOPMENT
Course Type
Free Forum (1 Time- Instructor Not Paid)
Short Course (Instructor Paid)
Other
Other Course info
Title of the course
Brief Description (to be used for advertising):
Target Audience (Who is the market for this class?):
Do you have a mailing list for promotional materials?
Yes
No
Paste the mailing list here
Level of Course:
Beginning
Intermediate
Advanced
Are there prerequisites for the class?
Yes
No
Enter the prerequisites list
Format:
Lecture
Discussion
Hands On
Other
Anticipated Number of Participants: Maximum
Start Date
End Date
Start time
End time
Total Clock Hours of Instruction:
Will CEU’s be awarded?
Yes
No
Enter the CEU awarded
Suggested Fee for Participants: $
Textbook (list the title, author, publisher, and ISBN number):
Photocopies Needed (list number per person):
Other Supplies (list supplies needed per person):
Equipment Needed (What equipment will you need for the class? Is that equipment available to you? If not, do you want ULM Continuing Education to arrange for the equipment?)
(Do you have any special room requirements? If so, please give the requirements along with a recommended room number)
Evaluation Procedure (The standard procedure is a student evaluation of the course. If you have additional requirements, please explain.):
Instructor Info: Please publish my information for students?
Yes
No
Personal Details
Instructor’s Name:
Address:
Social Security Number:
Home Phone
Work Phone
Fax
Email
Resume
Enter the resume details
