Excel Course Proposal Form
Saturday University Spring 2008

School of Extended Education • 1801 E. Cotati Ave. • Rohnert Park, CA 94928-3609
Stevenson Hall 1012 • Alison Marks, Coordinator • (707) 664-2394/664-2645

SCHEDULING INFORMATION

Please select the appropriate Saturday:

Date Preference:

Please indicate the appropriate grade level:

GRADES I WANT TO TEACH:

4-5
4-6
4-8 (is a large age range but is suitable for some classes)
6-9
7-9 (only junior high)

Instructor Data

Last name First Name

Home Address

City, state and zip

Home phone Work phone

Email:  Fax:

Course Information

Course title (snappy titles, list a few choices):

Please write a fabulous course description, paragraphs describing your course in appealing, inviting action words, sutiable for enticing your potential students and parents so they will sign up. Every description should also be factually complete & accurate, include solid course information and run about 100 words in length. Less than 100 is too sketchy, more than 200 too long.

Course Description:

Please write a brief biographical sketch (one paragraph) of instructor(s), including present employment (emphasize experience related to the course and work with children).
Biography:

Please also EMAIL separately your current resume.

If your class is not limited by equipment (e.g. computers), you will be expected to teach 18 student. If you are willing to take over 18 students please check here.

How many more than 18?

Please note that "drops" often occur at the last moment. Instructor are encouraged to enroll their class to 20. What is your minimum enrollment (usually it is 10)

ROOM REQUESTS

Your room is assigned to you during class hours only. Other instructors will be using your room when you are not in it. If you need more than one hour before class begins to set up your room, contact coordinator.

Do you have a special request? Building Room#

Please indicate any special needs such as:

Desk
Stage
Sinks
Tables
Closet or a storage space
Blackboard
A room designed for the use of messy art supplies
Others

List the other special needs here:

AUDIO VISUAL EQUIPMENT

Please note: We cannot promise unlimited use of audio-visual equipment. We also suggest that you not rely too heavily on videos -- ( a one week class should not need more than two and a half hours video time).

BUDGET

Materials Fee : The standard materials fee per student for a one-week class is $5. Some classes spend more, some less. You must supply all materials and supplies (even pencils and paper) that you will need to teach your class. However, some recycled paper may be available and some scissors are also available.

What is the total cost per class: (i.e., some require a set amount regardless of class size.)

What is the materials fee per student:

Please write an itemized materials list:

Duplication :

I will need to have photocopies made Yes No

What is the number of copies per student?

Please bring your non-copyrighted materials or send the to the attention of Faculty Support Coordinator at least one week prior to the date this material is needed. Specify the title of the class and any pertinent photocopying instructions and we will have the work processed and ready for pickup prior to your first class meeting.

Please note that there is a limit of 20 copies per student and that materials must be submitted to Extended Education at least one (I) week pior to the class start date. Should you require more than 20 copies per student an additional fee will be assessed. You cannot have materials photocopied at the last minute.

Teaching Assistant

If your class warrants an assistant we can pay an honorarium of $50 or some times students are willng to volunteer. This cost will be added to your course fee. The teaching assistant you select must submit a letter of recommendation and resume for Extended Education to keep on file. To better serve students, we request that your teaching assistant have some experience working with children.

Name

Home Address

City, state and zip

Fees: $  Dates:

PLEASE NOTE:

Class fees are based on Salary and materials projections; all course expenses require prior approval by Extended Education to qualify for reimbursement. All receipts must be originals with name, address and social security number attached. Reimbursement will not be made prior to your first class meeting. We do not use purchase orders, but some vendors will bill us. Receipts are due by the last class meeting with receipt cover sheet attached.

Classroom Safety. Please initial that you agree with the following:
All materials used with students must be handled safely and be non-toxic! Please try not to use spray cans unless mandatory. If mandatory, spray cans must be used outdoors and be CFC safe. Where appropriate, you will instruct students on proper and safe use of equipment (e.g. xactoblades).

COMPUTER USAGE

All instructors using a Computer Lab must attend a lab orentation with their lab manager. Please indicate the type of computer lab.

Mac PC

All labs have Apple Works 5.0 or Microsoft Office 2000 installed and are networked to the Internet and have Netscape and Telnet capabilities. See www.sonoma.edu/IT/labs/ for details.

Software Needed: (Cite name and version number):

Hardware Needs:


Scanner Printer (you must purchase paper)

Other (please list):

Please check one:

I will rely solely on University-owned software. I assume that the University has a sufficient number of cpies of the software that I require.

I will provide my own software. I own copies of this software.

Please check one:

I will need to use the Computer Lab for all class meetings.

I will need to use the Computer Lab for some class meetings. Please list number of class meetings and dates to be held in the lab: .

SUPPORTING MATERIALS

The following 5 items must be submitted for this form to be complete.

Instructor resume (List teaching experiences & references)
Brief biography (1 paragraph)
Class description (1-2 paragraphs)
Materials List

If my course is accepted, I agree to uphold the discipline standards and to participate in the teaching/student supervision as required by the EXCEL program policy. I agree to attend a teacher meeting before the program begins. If my class is in a computer lab, I agree to attend a mandatory lab orientation.

Signed  Date:

Please make a copy of this proposal for your records.