Culinary Class Proposal Form Thank you for your interest in teaching a culinary course! Please fill out all information in as much detail as possible. *Denotes all required fields. Contact Information Name and Info Question Title * First Name: Question Title * Last Name: Question Title * Primary Phone Number: Question Title * Contact Email: Address Question Title * Address 1: Question Title * Address 2: Question Title * City: Question Title * State: Question Title * Zip Personal Information Question Title * Instructor Biography: Question Title * Headshot: JPEG, JPG, PNG file types only. Choose File Choose File No file chosen Remove File Headshot: Question Title * Instructor Website: Question Title * Social Media Contact(s): Question Title * Are you a UCA employee? Yes No Course Content General Course Info Question Title * Course Title: Question Title * Proposed Course Dates: Question Title * Proposed Class Times: Question Title * Day(s) of the Week Taught: Question Title * Course Description: Please share any personal photos of the dishes you propose to prepare if you have them. Question Title * Culinary Photo #1: JPEG, JPG, PNG file types only. Choose File Choose File No file chosen Remove File Culinary Photo #1: Question Title * Culinary Photo #2: JPEG, JPG, PNG file types only. Choose File Choose File No file chosen Remove File Culinary Photo #2: Question Title * Culinary Photo #3: JPEG, JPG, PNG file types only. Choose File Choose File No file chosen Remove File Culinary Photo #3: Question Title * Marketing Audience Suggestions: Question Title * Are there any co-instructors that will help teach this course? Yes No Question Title * If so, please type name: Course Set-Up Information Question Title * Minimum # of Students: Question Title * Maximum # of Students: Question Title * A/V Request(s): Question Title * Class Style: Interactive Demo Style Hands-on Style Question Title * If Other, Please Specify: Question Title * Suggested Course Registration Fee: Question Title * Instructor Fee including expenses: Supplies and Materials The instructor will provide all supplies and materials. The cost of materials and supplies should be included in instructor's fee. References Question Title * Please provide the name, email and phone number of at least 3 professional references who would recommend you as an instructor for this course. Question Title * Instructor's Initials: Question Title * Today's Date: Done