Community Education Course Outline
Instructor______________________________________
Daytime Phone________________________________
Evening Phone ________________________________
Cell Phone ___________________________________
The following information will be reviewed, discussed and approved by Community Education before being printed in the course schedule.
Type of Course: _____________Free Forum (No Instructor Pay) _____________Short Course (Instructor Paid)
Proposed Course Title:____________________________________________________________________________
Brief narrative course description: (This information will be used to promote the course- 25-30 words or less)
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(back of page may be used if needed)
Prerequisites required? ________ If yes, list:___________________________________________________________
Target audience: (Who is the market for this class?) ______________________________________________________
Session Information:  Winter (Jan-Apr)
A. Prospective Start Date ______________, 20______
 Summer (mid-May-July)
 Fall (Sept-Dec)
B. Prospective Start Date ______________, 20______
(Please do not schedule classes on holidays or weekends adjacent to. Park Hill Schools are shared facilities, class dates may require
adjustment due to larger school functions).
Length___________ day/weeks
Total sessions ___________
Age of students __________________
Days(s) class will meet:  Mon.  Tue.  Wed.  Thu.  Fri.  Sat. (Saturdays: District Office. Location only)
Course Time: (Start)__________ to (End)__________ (evening classes should start 6p.m. or later due to daytime functions in
the schools. Note: rooms are reserved based on times needed. If you need to be in classroom early/late, please advise here:______________)
Min Enrollment ____________(expected to teach class at this #) Max Enrollment ____________(due to instr. or space limitations)
(Community Education reserves the right to adjust minimum enrollment)
Type of room required: Standard classroom Art room/water Computer lab Cafeteria/Commons/Gymnasium
Supplies:
_________________No Supplies Needed
_________________Instructor will provide supplies. Students will pay $______to instructor on first day of class.
_________________Students will bring supplies.
Supply list provided 1st day of class__________ approximate cost for class supplies students will purchase___________
Supply list provided by our office at registration__________ (please attach typed copy for distribution)
Photocopies needed for class can be completed by our office; master is required 2 days prior to class. Instructor may
also use our copier if needed. A master of all handouts, publications should be provided to our office for review.
----------------------------------------------------------------------------------------------------------------------------------------- ------------------------The following information will be completed by the Community Education Office.
Instructor Salary ______________________________
Class Fee __________________________________
Location ____________________________________
Room _____________________________________