You are receiving this form either because you have taught previously in our MASEP Classes or have expressed an interest in teaching for MASEP. Please note: this form does not guarantee that you will be teaching in the 2013-2014 school year. Please complete one form per course you are proposing to teach. Please complete this form no later than Friday, August 2nd to be considered.

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* 1. Please complete the following:

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* 2. Class Title:

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* 3. Class Description to be printed in the Registration Packet. (Please limit your description to 100 Words or less. The City of El Cerrito has reserved the right to edit your description.)

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* 4. Class Grade Range (e.g. Kindergarten only, 1st-6th, 2nd-4th grade, etc.):

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* 5. Class Size Minimum:

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* 6. Class Size Maximum:

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* 7. Does your class have a Materials fee?

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* 8. If yes, what is the amount? $________ (if you DO NOT have a Materials Fee, please put N/A):

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* 9. Please specify what the Materials Fee is used for (if you DO NOT have a Materials Fee, please put N/A):

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* 10. Facility / set-up requirements (Be Specific) Number of tables, chairs, sink, room size, etc.:

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* 11. Supplies or materials students need to bring or wear to class:

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* 12. If class is NOT full will you allow late enrollments?

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* 13. If you allow late enrollments, will you allow pro-rated fees?

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* 14. Please indicate which Day(s) and Time(s) you are available to teach for Session 1:

  K-6th grade M, T, Th, F: 2:50PM K only (Tues): 1:45PM K-6th grade Wed Only: 2:15PM K-6th grade Wed Only: 3:30PM K-6th grade Wed Only: 4:30PM N/A
Mondays: 9/9/13-10/28/13 (8 classes)
Tuesdays: 9/10/13-10/29/13 (8 classes)
Wednesdays: 9/11/13-10/30/13 (8 classes)
Thursdays: 9/19/13-10/24/13 (6 classes)
Fridays: 9/13/13-10/25/13 (6 classes) No Class:10/11

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* 15. Please indicate which Day(s) and Time(s) you are available to teach for Session 2:

  K-6th grade M, T, Th, F: 2:50PM K only (Tues): 1:45PM K-6th grade Wed Only: 2:15PM K-6th grade Wed Only: 3:30PM K-6th grade Wed Only: 4:30PM N/A
Mondays: 11/18/13-1/13/14 (7 classes) No Class: 12/23, 12/30
Tuesdays: 11/12/13-1/21/14 (8 classes) No Class: 11/26, 12/24, 12/31
Wednesdays: 11/13/13-1/22/14 (8 classes) No Class: 11/27, 12/25, 1/1
Thursdays: 11/14/13-1/23/14 (8 classes) No Class: 11/28, 12/26, 1/2
Fridays: 11/15/13-1/24/14 (7 classes) No Class: 11/29, 12/20, 12/27, 1/3

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* 16. Please indicate which Day(s) and Time(s) you are available to teach for Session 3:

  K-6th grade M, T, Th, F: 2:50PM K only (Tues): 1:45PM K-6th grade Wed Only: 2:15PM K-6th grade Wed Only: 3:30PM K-6th grade Wed Only: 4:30PM N/A
Mondays: 1/27/14-3/24/14 (8 classes) No Class: 2/17
Tuesdays: 1/28/14-3/25/14 (8 classes) No Class: 2/18
Wednesdays: 1/29/14-3/26/14 (8 classes) No Class: 2/19
Thursdays: 1/30/14-3/27/14 (7 classes) No Class: 2/20, 3/20
Fridays: 1/31/14-3/28/14 (8 classes) No Class: 2/21

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* 17. Please indicate which Day(s) and Time(s) you are available to teach for Session 4:

  K-6th grade M, T, Th, F: 2:50PM K only (Tues): 1:45PM K-6th grade Wed Only: 2:15PM K-6th grade Wed Only: 3:30PM K-6th grade Wed Only: 4:30PM N/A
Mondays: 3/31/14-5/19/14 (7 classes) No Class: 4/7
Tuesdays: 4/1/14-5/27/14 (8 classes) No Class: 4/8
Wednesdays: 4/2/14-5/28/14 (8 classes) No Class: 4/9
Thursdays: 4/3/14-5/29/14 (8 classes) No Class: 4/10
Fridays: 4/4/14-5/30/14 (8 classes) No Class: 4/11

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* 18. How many minutes per day is your course?

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* 19. Additional comments/information:

Thank you! We will be in touch as soon as possible.

If you have any questions, please contact:
Vivian Brandt, Community Services Supervisor
VBrandt@ci.el-cerrito.ca.us
510-559-7007

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