Class Development Form
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1. LOACC Class Development Form

Please answer the following questions providing detailed information regarding your class proposal.Classes should be designed for 50+

Instructor Information Name:
Address:
Home Phone:
Cell:
Email:

Please indicate your preference on how your services will be compensated.

Class Title

Please provide a SHORT class description (for our catalog):

Please provide a LONG class description (for the web):

	MM		DD		YYYY		HH		MM	AM/PM
Class Begins:	What is your proposed time frame for your course? If you do not know, please skip and go to question 7 & 8. Class Begins: Month	/	Day	/	Year		Hour	:	Minute	AM or PM
Class Ends:	Class Ends: Month	/	Day	/	Year		Hour	:	Minute	AM or PM

	Monday	Tuesday	Wednesday	Thursday	Friday
Proposed Day(s):	*Please describe your availability for offering this new class: Proposed Day(s): Monday	Proposed Day(s): Tuesday	Proposed Day(s): Wednesday	Proposed Day(s): Thursday	Proposed Day(s): Friday

Other (please specify)

	Summer	Fall	Winter	Spring
Select one:	*What season would you like to start: Select one: Summer	Select one: Fall	Select one: Winter	Select one: Spring

Are there any special considerations or equipment needed?