Excel Course Proposal Form Summer 2010
Excel For Youth

Please fill out this form online, then print and fax or mail to Alison Marks, Excel Director using address below:

School of Extended Education • 1801 E. Cotati Ave. • Rohnert Park, CA 94928-3609
Stevenson Hall 1012 • Alison Marks, Coordinator
tel: 707 664 2394   fax: 707 664 2613

SCHEDULING INFORMATION

Please select the appropriate session and time. Indicating your first and second choice and if you are flexible.

I am flexible about the length of the course: yes no

Excel For Youth schedule:

Please indicate the appropriate grade level:

GRADES I WANT TO TEACH in Excel For Youth:

Instructor Data

If you are a new faculty member, please enter the last 4 digits of your SSN#:

If you are a returning faculty member, please enter your employee #:

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.

Please write a day by day outline of your course content.

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

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 students. If you are willing to take more than 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. Minimum enrollment 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:

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 :

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 the materials are 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 prior 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.

Guest Lecturers

A one-week class may have one guest speaker, a two-week class two speakers. Some speakers may volunteer their time while others will not. An honorarium of $50 is available for each guest lecturer and will be added to the course fee. Parking passes are available for guest speakers, if we are notified in advance.

Name

Home Address

City, state and zip

Fees: $ Dates:

Name last 4 digits of your SSN#:

Home Address

City, state and zip

Fees: $ Dates:

Teaching Assistant

If your class warrants an assistant we can pay an honorarium of $75 (per 15 hour class). This cost will be added to your course fee. The teaching assistant 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. We also have many talented high-school teaching assistants willing to volunteer for community service credit.

Name last 4 digits of your SSN#:

Home Address

City, state and zip

Fees: $ Dates:

I would like a high school volunteer to assist if available: yes no

Field Trips

Please supply us with a clear map to the site and the following:

Site: Dates:

Approximate distance from the campus: Admission Fee (if any): $

Site: Dates:

Approximate distance from the campus:
Admission Fee (if any): $

You are expected to make your own reservations, please call your site now for possible closure dates or remodeling.

Field Trips Transportation

Field trips rely solely on parent drivers. Parents must be cleared by SSU public safety prior to the field trip.

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 an SSU lab manager. All labs have dual platform based iMacs that run both Mac OSX and Windows XP SP3. To view the software installed in our computer lbas for both Mac and PC, visit www.sonoma.edu/it/labs/software.shtml for details.

Software Needed: (Cite name and version number):

Hardware Needs:

Color monitor Scanner Printer
Other (please list):

Please check one:

I will rely solely on University-owned software. I assume that the University has a sufficient number of copies 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
Course content (day by day activities)

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.