1. Submission Page

Faculty members should use this form to submit the details for any Open Class session they plan to offer.

A separate form should be submitted for each Open Class session; if you plan to offer more than one, you should complete this form more than once.

Forms must be submitted by 5pm on Friday, February 8, 2013 in order to be included in our print materials.

Open Classes that are part of Unity Week should take place some time between Friday, March 29 - Friday, April 12, 2013.

Please direct any questions or concerns to Dr. Stacey Van Dahm at vandahms@philau.edu.

* 1. Faculty Member's Name:

* 2. Phone Number:

* 3. Email Address:

* 4. Would you like students to RSVP to you if they plan to attend your class?

* 5. Course Number:

* 6. Course Name:

* 7. Date of open session:

* 8. Start Time of Open Session:

* 9. End Time of Open Session:

* 10. Location of Open Session:

* 11. Topic of Open Session:

* 12. Description of Open Session: