Spring 2023 OLLI UHM Course Proposal Form

INSTRUCTOR INFORMATION

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* 1. Instructor Status. Are you...

A new OLLI instructor

A returning OLLI instructor. Returning instructors with NO changes to contact information may skip Q 3-4. But DO enter your name and email in Q 2 so we know who is submitting this!

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* 2. Name and email

First

Last

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* 3. Mailing Address

Street 1

Street 2

City

State/Prov

Country

Zip/Postal Code

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* 4. Phone Contact

Best Phone Number

Alternate Phone Number

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* 5. Are you.... (check all that apply)

Retired from the University of Hawaii at Manoa?

An alumnus the University of Hawaii at Manoa?

Currently employed at the University of Hawaii at Manoa?

A current grad student at the University of Hawaii at Manoa?

If you checked any of the above options, please provide the name(s) of the Departments you are/were affiliated with:

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* 6. Do you have a past or current affiliation with another university, college or institution? If yes, please specify in comment box.

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* 7. Instructor’s Biography. Provide a brief (~50 words) biographical sketch illustrating how you know your topic and why it interests you. Include your current title, if applicable. This information will be listed in our course catalog and on our website along with the course details.