Learn with SU
A lifelong learning program
by Salisbury University
1308 Camden Avenue
Foundation House
Salisbury, MD 21801
410-677-5416 (office) 410-677-5039 (fax)
ahwaters@salisbury.edu
Presenter Form: Please fill out this form as completely as possible and return to
the Learn with SU office. Bear in mind that this is a draft and that the final
arrangements will be worked with one of our staff members.
Session you wish to present:
Fall
Spring
Name ___________________________________________________________
Address _________________________________________________________
City/State/Zip Code ________________________________________________
Home Phone ____________________
Work Phone ____________________
E-mail ____________________________
Class Title
________________________________________________________________
Goals of the Class:
________________________________________________________________
________________________________________________________________
Type of Space Needed
________________________________________________________________
Equipment Needed
________________________________________________________________
Location(s) willing to present
_______________________________________________________________
Time Length of Class __________ Number of Class Meetings ____________
Proposed Day(s) of the Week _______________________________________
Proposed Time of the Day __________________________________________
Minimum and Maximum Number of Participants
________________________________
Any items that students will be expected to bring?_________________________
At the end of class, will students walk away with something - if so, what?
_________________________________________
Please write a brief description suitable for publications in Learn with SU
brochure and Website.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Thank you for your interest in teaching!