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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. Course Title - Maximum of 70 characters (including spaces). The CWA reserves the authority to edit the course title.

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* 5. Course Description - We will use the description for this class from a previous catalog. If this is a new class, please provide your course 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 in complete sentences. 

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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 session(s) are you available? Sessions run for three or six weeks during the semester.

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* 8. Availability - We appreciate your giving us the most flexibility for scheduling. Please check all days you are available. Please note that as our program grows, finding space becomes challenging.  We would appreciate it if you could give us as many options as possible to allow us flexibility when scheduling rooms. 

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* 9. Reading REQUIRED - List required reading including full title, author and ISBN. Two books maximum to be purchased by students.

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* 10. Reading SUGGESTED - List suggested reading including full title and author. Two books maximum to be purchased by students.

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* 11. Audiovisual Needs - What types of equipment will you require? Note: Cables fit PC equipment; MAC users will need to provide adapters to an HDMI or VGA connection).

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* 12. Please list any other notes applicable to your needs for this course.

Please print a copy for your records.

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