OLLI Office Use
Lead
_____Bft __HHI
_____Bluff ____ Jasp
POTENTIAL & CURRENT OLLI INSTRUCTORS
Complete this form using a word format. E-mail your completed form back to OLLI
Director, Andréa Sisino at Sisino@uscb.edu.
Winter/Spring proposals due by September 17.
Name:
Address: City: State: Zip:
E-mail:
Primary Contact Phone: Cell:
Locations: ( LIST ALL locations in the order of preference where you would like to present:
Hilton Head Island
Jasper Co.
USCB Beaufort Campus – Beaufort
USCB Bluffton Campus - Bluffton
Potential Course: Please describe a course that you wish to offer for OLLI.
Course Title :
Description:
Is this a brand NEW course for OLLI that you are proposing?
Do you have a minimum number of students required?
Maximum Number?
Requirements: (i.e. books, AV, materials fees, etc.) ?
Terms: Individual course sessions vary from 1.5 to 4 hours, and are generally scheduled Mon-Fri, from 9:00 am- 5:00 pm. Please indicate the day & time you prefer.
Winter/Spring 2016 (1/ 25 – 5/ 5)
Day(s) Preferred
Beginning Date Preferred
Time Preferred
Number of Sessions
Additional Questions:
Have you taught this subject before? Yes ____ No________
If yes, indicate where and when:
What are your credentials/experience which qualify you to teach this class? SHORT
BIO
Rev. 12/2013

Thank you! We value your contribution to OLLI!
Rev. 12/2013