CWU CONTINUING EDUCATION
CLOCK HOUR
COURSE PROPOSAL FORM
Organization Name
Contact Name:
Telephone Number
Address:
City:
State: WA
Zip:
Name of Course:
Dates and Times:
Number of Clock Hours to be awarded:
Please note: One (1) Clock Hour = 1 contact hour of instruction.
CWU Continuing Education requires that a minimum of 3 Clock
Hours be offered.
Instructor(s) and qualifications
Facility for course:
Course Description:
Materials and equipment necessary:
Topical Outline:
Learner Outcomes (3-5):
1. Participant will
2. Participant will
3. Participant will
4. Participant will
5. Participant will
Assessment:
It is mandatory that students evaluate each course for which Clock Hours are available. Evaluations
must be summarized and submitted to the CWU Office of Continuing Education. Please attach the
following items along with this proposal:
1. A copy of the student evaluation form you will be using for this course.
2. A copy of the form you will be using to summarize the student course evaluations.
Submit proposal to:
Maggie Mendoza, Program Manager
CWU Office of Continuing Education
400 E. University Way
Ellensburg, WA 98926-7433
Ph: 509-963-1528
Fax: 509-963-1690
Email: MendozaM@cwu.edu