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Home
Spring Courses
Course Videos Library
Course Leaders
Contact Us
Board of Directors
Keep in Touch
Send us a Course Proposal
Things You Should Know
How to Zoom
Course Proposal Form
How to turn on Youtube Captions
YMCA Guest Pass Application
Donate
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Course Proposal Form
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Email
*
Phone
*
Mailing Address
*
Proposed Course Title
*
Full Course Description (for the website)
*
Brief Summary (1 or 2 sentences for our mailer)
Max/Minimum # 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
Preferred Dates and Times
*
Brief Bio
*
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:
Submit