Union Public Schools Community Education
We are excited that you are interested in being a part of Union Public Schools Community
Education Program. We look forward to receiving your class proposal(s). If you have
questions or need help with writing a class proposal, please call
the Community Education office at 918-357-6027.
Community Ed Class Proposal for Union Certified Employees
Please complete all items on this application. Use a separate application for each class you propose
to teach. Please note:
 All classes are scheduled at the discretion of the Community Education office.
 A submitted proposal is NOT an approved class. We will contact you only if we plan to schedule your
proposed class.
 If your proposal is selected, you will be contacted to finalize arrangements and complete the necessary
paperwork. If you are not an employee of Union Public Schools, a criminal background check will also
be required.
 You do not need to resubmit a proposal for the same class each session - all proposals will be kept on
file.
 Classes will be scheduled one season ahead (ex. if it is currently Spring, we are scheduling for Fall),
according to the following deadlines:
Fall submissions - due July 14
Winter/Spring submissions - due November 3
Summer submissions - due March 2
Teacher Name:
Teacher E-Mail:
Teacher Address:
Home Phone:
Zip:
Work/Cell Phone:
Completed applications may be returned as follows:
Email applications to: jennings.kim@unionps.org This is the best way to submit!!
Fax applications to: (918) 357-6220, Attn: Lorrie Field
Mail applications to:
Union Public Schools
Community Education
Attn: Lorrie Field, EDP/Comm. Ed. Manager and Kim Jennings, Comm. Ed. Secretary
8506 E. 61st Street
Tulsa, OK 74133
Proposed Class Information
Class Title:
Course fee - $40 – 1 hour weekly – 4 weeks
$80 – 1 hour weekly – 8 weeks
Teacher stipends:
$ 240 for a 4 week class
$360 for a 6 week class
$480 for an 8 week class
Equipment - Please indicate any special room or equipment needed (i.e. classroom, computer lab, gym,
cafeteria, smart board, computer, etc:
Materials - Please indicate any materials or supplies needed for this class:
If needed, a class activity fee can be added to the class fee. Prior approval by the Director of Community
Education is required.
Schedule:
Day(s) of week
# of weeks
Start date
End date
Please indicate which session you would like to teach:
Fall (Sept-Dec)
Winter/Spring (Jan-May)
Start time
End time
Summer (June-July)
Are you interested in teaching: (check all that apply)
Adults
Seniors
Youth
Before School
After School
Please indicate in which Community Education location you would be willing to teach:
(check all that apply)
Andersen
Boevers
Jefferson
Briarglen
McAuliffe
Cedar Ridge
Moore
Peters
Clark
Rosa Parks
Darnaby
Grove
Jarman
6th/7th Grade Center
Please indicate which grade levels you would be willing to teach:
(check all that apply)
Pre-Kindergarten (4year olds)
Are you a certified Union employee?
If yes, at what site:
K-2
Yes
3-5
No
6th
7th
Are you a support Union employee?
Yes
No
Description of proposed class (50 words max.) - Good class descriptions contain a short, catchy first
sentence, information about what participants will gain from the class and any expectations about previous
experience participants need to be successful. Also include pertinent biographical information, experience or
certificates and something interesting that might attract potential participants:
What will students know by the end of the class?
Instructor Qualifications - Please give a short summary of your qualifications, highlighting the experience you
will bring to this class:
References:
Name:
Address:
Organization/relationship:
Name:
Address:
Organization/relationship:
Phone:
Phone:
Your Name:
Date: