Thank you for your interest in teaching a culinary course! Please fill out all information in as much detail as possible.
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Contact Information
Name and Info

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* First Name:

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* Last Name:

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* Primary Phone Number:

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* Contact Email:

Address

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* Address 1:

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* Address 2:

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* City:

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* State:

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* Zip

Personal Information

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* Instructor Biography:

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* Headshot:

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* Instructor Website:

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* Social Media Contact(s):

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* Are you a UCA employee?

Course Content
General Course Info

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* Course Title:

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* Proposed Course Dates:

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* Proposed Class Times:

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* Day(s) of the Week Taught:

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* Course Description:

Please share any personal photos of the dishes you propose to prepare if you have them.

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* Culinary Photo #1:

JPEG, JPG, PNG file types only.
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* Culinary Photo #2:

JPEG, JPG, PNG file types only.
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* Culinary Photo #3:

JPEG, JPG, PNG file types only.
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* Marketing Audience Suggestions:

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* Are there any co-instructors that will help teach this course?

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* If so, please type name:

Course Set-Up Information

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* Minimum # of Students:

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* Maximum # of Students:

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* A/V Request(s):

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* Class Style:

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* If Other, Please Specify:

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* Suggested Course Registration Fee:

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* 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

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* Please provide the name, email and phone number of at least 3 professional references who would recommend you as an instructor for this course.

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* Instructor's Initials:

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* Today's Date:

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