Course Proposal Form – Chesapeake Forum

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Course Proposal Form

Winter Semester: Mid-Jan thru March

**Winter 2023 Proposal Deadline is Oct 17

Spring Semester: Mid-Apr thru Mid-June

**Spring 2023 Proposal Deadline is Jan 9

Fall Semester: Mid-Sept thru Nov

**Fall 2023 Proposal Deadline is July 17

Name *

First

Last

Email *

Phone *

Mailing Address *

Proposed Course Title *

Full Course Description (for the website) *

Expected Outcomes (what participants will learn) *

Brief Summary (1 or 2 sentences for our mailer)

Minimum/Max # of Participants

Number of Sessions (generally one to three 90 min sessions) *

Is this course suitable for teens (assuming availability)? *

Yes, I would like to offer this to teens
Yes, possibly
No, probably not

Which of the following is your preference for teaching this class? *

Zoom (recorded)
Zoom (not recorded)
Hybrid classroom (in-person+ Zoom participants, recorded)
Hybrid classroom (in-person + Zoom participants, NOT recorded)
In-person classroom (no Zoom or recording))
In-person off-site (no Zoom or recording)
No preference, whatever is needed

Will you need to share your screen (PowerPoint, videos, or other documents)? *

Yes, will need to share my screen
No, discussion only

SCHEDULING: Preferred Day of the Week (You may make multiple choices here) *

Monday
Tuesday
Wednesday
Thursday
Friday

(We normally schedule Hybrid and Zoom courses for T-W-Th. Field Trips work best on Mondays or Fridays in order to avoid conflicts with other courses)

SCHEDULING: Preferred Time of the Day (you may make multiple choices here) *

10-11:30 am
1-2:30 pm
5:30-7 pm
Other (please explain below)

Scheduling Concerns

Please let us know if you have certain dates in mind or dates that you are not available.

Brief Bio (copy) *

Do we have a current photo of you that you like? (For the website and press releases) *

Yes (We will use what we have on file)
No (I will send it to you at info@chesapeakeforum.org)
No (I would like to arrange for someone to take one for me)

Check out the instructor photos on the website. We prefer head and shoulder, candid over formal. Especially like shots that relate to your course (ie: if teaching about oysters, a shot with oyster baskets)

ACCEPTANCE: Should my courses be recorded, I acknowledge that Chesapeake Forum has the right to use the recording(s) in the “Library” of courses that are made available at a nominal charge for future use. I understand that Chesapeake Forum course recordings are made available as YouTube videos with access only through the use of a password provided after registering for the video. The CF Library is an effort to make our courses more widely available to community members who might have missed our earlier efforts. I understand that should I have any concerns with this policy, I can discuss them with the current Chesapeake Forum President at info@Chesapeakeforum.org. *

I agree
Not Applicable (I am not having my course recorded)
Have Caveats (please specify below):

If you have any concerns about having your course recording in the library, please explain below:

PLEASE NOTE: To be on the safe side, please copy and paste your course description and outcomes to a Word doc. Be sure to let us know at info@ChesapeakeForum.org that you have submitted your proposal and we will confirm that it was received! Our thanks in advance! *

Yes, I made a copy
No, I have no copy

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