Confirmed Instructor Information Form Thank you for agreeing to teach for SPARK! Please complete each section of the form so we can collect the information we need for our catalog and so we know how to thank you for your time. Question Title * 1. Name as it should appear in our catalog Question Title * 2. The Email Address we should use to contact you. Question Title * 3. Your preferred phone number Question Title * 4. Your mailing address Question Title * 5. Your Instructor Bio Question Title * 6. My bio may be modified to fit in the paper catalog Yes No CLASS INFORMATION Question Title * 7. Class Title Question Title * 8. My class title may be modified for marketing purposes in the paper catalog Yes No Question Title * 9. Class Description Question Title * 10. I understand that my class description will be edited to approximately 3 sentences in the paper catalog. The longer description will be added to the online catalog Yes No Question Title * 11. Class Type Lecture (suitable for Zoom) Discussion or Activity Based (in-person only) Question Title * 12. Number of weeks you will teach 1 week 2 weeks 3 weeks 4 weeks 5 weeks 6 weeks Other (please specify) Question Title * 13. Day of the week the class will be taught Monday Tuesday Wednesday Thursday Friday Other (please specify) Question Title * 14. Time class will be taught 10am - Noon 1:30 - 3:30 pm Other (please specify) Question Title * 15. Date of first class Date / Time Date Question Title * 16. If my class will not be presented in consecutive weekly dates, the reason and specific dates skipped are listed below. Question Title * 17. SPARK uses royalty free photos to represent all classes in the paper and online catalogs. I agree to allow SPARK to select a photo to represent my class. I will provide SPARK with a royalty free photo to represent my class by emailing a jpg, png or pdf format to SPARK@umkc.edu. Question Title * 18. My SPARK contact for this class was CLASSROOM REQUIREMENTS Question Title * 19. Type of class I am teaching Hybrid (Simultaneous Zoom and In-person) - Best for Lecture Classes In-person only - Best for discussion or activity based classes Zoom from my location SPARK can choose the best format for my class ALL CLASSES Question Title * 20. I understand that SPARK will duplicate and distribute any handouts I have for my class. This includes Zoom participants if applicable. Yes I will contact SPARK@umkc.edu to schedule a time to discuss this Question Title * 21. I understand that SPARK needs a minimum of 2 business days prior to class to duplicate them for distribution in person and on Zoom if applicable. I should email my handout to SPARK@umkc.edu. Yes I will contact SPARK@umkc.edu to schedule a time to discuss this Question Title * 22. I understand that SPARK will market my class online, through email and by mailing a catalog using USPS. I am encouraged to promote my class in my circle of influence with the understanding that those taking any SPARK class must pay the class and membership fees. Yes I will contact SPARK@umkc.edu to schedule a time to discuss this Question Title * 23. I understand that SPARK will market my class online, through email and by mailing a catalog using USPS. I am encouraged to promote my class in my circle of influence with the understanding that those taking any SPARK class must pay the class and membership fees. Yes I will contact SPARK@umkc.edu to schedule a time to discuss this Question Title * 24. I understand that SPARK may photograph classes and activities which may include images of instructors and/or participants. Yes I will contact SPARK@umkc.edu to schedule a time to discuss this Zoom Classes (Skip questions 25-27 if teaching In-person only) Question Title * 25. I understand that if my class has a Zoom component, I must bring my presentation to the SPARK classroom on a USB drive in PowerPoint format to effectively use the smart classroom technology. Yes I will contact SPARK@umkc.edu to schedule a time to discuss this Question Title * 26. I understand that if my class has a Zoom component, SPARK will set up the Zoom Classroom. SPARK will advise me regarding microphones, the camera zone and giving context for questions asked in person. Yes I will contact SPARK@umkc.edu to schedule a time to discuss this Question Title * 27. I understand that if my class has a Zoom component, SPARK will record the class and make it available via an unlisted YouTube link to those enrolled in the class. (This option is not available for in-person only classes) Yes I will contact SPARK@umkc.edu to schedule a time to discuss this In-person only classes (Skip Questions 28 & 29 if class has a Zoom Component) Question Title * 28. I understand that if my class is in-person only, I may use my personal device to project on the classroom screen. It is my responsibility to ensure that I have an HDMI port on my device or that I bring my own adaptor to connect to the HDMI cable. Yes I will contact SPARK@umkc.edu to schedule a time to discuss this Question Title * 29. I understand that if my class is in-person only, it will not be recorded. Yes I will contact SPARK@umkc.edu to schedule a time to discuss this SPARK's RESPONSIBILITIES Question Title * 30. I understand that SPARK will be responsible for the following. Providing classroom space to accommodate all in-person attendees. Setting up a Zoom classroom if needed and distributing the link to those enrolled in the class. Preparing an enrollment roster used to take attendance. Providing parking instructions to me. Responding to questions and concerns during scheduled business hours. Yes I will contact SPARK@umkc.edu to schedule a time to discuss this Question Title * 31. SPARK and I acknowledge and agree that teaching for SPARK does not make me a UMKC or SPARK employee. I am acting as an independent contractor. Yes I will contact SPARK@umkc.edu to schedule a time to discuss this Question Title * 32. If I am a current SPARK or UMKC employees, I acknowledge that teaching for SPARK is outside of my regular duties and I am responsible for following any guidelines set fourth by my supervisor. Yes NA THANK YOU GIFT Question Title * 33. I would like to be thanked for teaching for SPARK in the following way. An honorarium check of $50 per 90 minute class session. I understand that a W-9 is required and I will receive my honorarium on the last day of class. A $50 Visa Gift Card One free SPARK class and quarter membership One free year of SPARK membership I forego a thank you gift Question Title * 34. I intend to submit my W-9 to SPARK using the following method Email the W-9 to SPARK@umkc.edu Mail the W-9 to SPARK, PO Box 300362, Kansas City, MO 64130 Bring the W-9 to the SPARK office on the first day of class Done