Course Title: 

Instructor's Name:

Instructor Occupation or brief description of experience in interest area (limit 90 characters):

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Brief Course Description:

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Number of class meetings and length of time for each class:

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Proposed day, dates, and beginning and ending time of each class:

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Will you need a location or will you do Zoom?

Class Size:  Minimum___________ Maximum__________

Technology Needs: