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* 1. Name.

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* 2. Email address: This address is not shared outside of CWA. It is used to send you important information.

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* 3. Phone Number

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* 4. Activity Title: Maximum of 70 characters (including spaces). The CWA reserves the authority to edit activity title.

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* 5. Activity Description: We will use the description for this activity from a previous catalog. If this is a new activity, please provide your activity description with a maximum of 100 words. This is your proposal for  the final description we will use in our catalog - please be sure your course description is complete. 

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* 6. Please list any co-instructors (this only applies to those teaching a significant portion of the course and does not include guest speakers)

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* 7. Which days of the week are you available for this activity?  Please provide as many days as possible.

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* 8. What time of day are you available to hold this activity?  Please select all that apply.

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* 9. How often will this activity meet?

If your setup needs require other than a standard theatre style seating lecture hall environment, please contact the CWA office at 221-1506.

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* 10. Audiovisual Needs: Will you require any equipment?

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* 11. Is there any additional information you need to share regarding this activity?

Please print a copy of this proposal for your records.

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