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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.
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1.
Name as it should appear in our catalog
(Required.)
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2.
The Email Address we should use to contact you.
(Required.)
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3.
Your preferred phone number
(Required.)
*
4.
Your mailing address
(Required.)
*
5.
Your Instructor Bio
(Required.)
*
6.
My bio may be modified to fit in the paper catalog
(Required.)
Yes
No
CLASS INFORMATION
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7.
Class Title
(Required.)
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8.
My class title may be modified for marketing purposes in the paper catalog
(Required.)
Yes
No
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9.
Class Description
(Required.)
*
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
(Required.)
Yes
No
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11.
Class Type
(Required.)
Lecture (suitable for Zoom)
Discussion or Activity Based (in-person only)
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12.
Number of weeks you will teach
(Required.)
1 week
2 weeks
3 weeks
4 weeks
5 weeks
6 weeks
Other (please specify)
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13.
Day of the week the class will be taught
(Required.)
Monday
Tuesday
Wednesday
Thursday
Friday
Other (please specify)
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14.
Time class will be taught
(Required.)
10am - Noon
1:30 - 3:30 pm
Other (please specify)
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15.
Date of first class
(Required.)
Date / Time
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
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16.
If my class will not be presented in consecutive weekly dates, the reason and specific dates skipped are listed below.
(Required.)
*
17.
SPARK uses royalty free photos to represent all classes in the paper and online catalogs.
(Required.)
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.
18.
My SPARK contact for this class was
CLASSROOM REQUIREMENTS
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19.
Type of class I am teaching
(Required.)
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
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20.
I understand that SPARK will duplicate and distribute any handouts I have for my class. This includes Zoom participants if applicable.
(Required.)
Yes
I will contact SPARK@umkc.edu to schedule a time to discuss this
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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.
(Required.)
Yes
I will contact SPARK@umkc.edu to schedule a time to discuss this
*
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.
(Required.)
Yes
I will contact SPARK@umkc.edu to schedule a time to discuss this
*
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.
(Required.)
Yes
I will contact SPARK@umkc.edu to schedule a time to discuss this
*
24.
I understand that SPARK may photograph classes and activities which may include images of instructors and/or participants.
(Required.)
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)
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
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
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)
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
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
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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.
(Required.)
Yes
I will contact SPARK@umkc.edu to schedule a time to discuss this
*
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.
(Required.)
Yes
I will contact SPARK@umkc.edu to schedule a time to discuss this
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
*
33.
I would like to be thanked for teaching for SPARK in the following way.
(Required.)
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
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
Send me a copy of my responses via email