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Course Proposal Form

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I am proposing the following course for this academic term  

Course title

Your name

Information About You

Your Address

Home      Work     Cell

Can we give number to students?       

      If "Yes", which one(s)

Your email


Course Description

Min / Max number of students in class 4/      Age group (Min/Max)

Number of sessions     Hours per session     Total number of hours

Days     Begin date     End date

Begin time      End time

Preferred location: (Central campus, East Mesa, or other, please specify)

Room and space requirements


Textbooks/Suggested reading materials: If you need a textbook, please fill out the required information. Please note if this is a new class, Community Education will not purchase books for you. We recommend that the student purchase the book directly or that you make the purchase and ask the student to reimburse you for the cost.

Book title       ISBN

Cost $     Who will pay for the book?


Please list your supplies or materials below and indicate if students should purchase them prior to class or from you:

List of Supplies or Materials

Supply/materials cost per student:
A $ material fee will be collected by instructor at beginning of class


Instructor biographical information: Please provide us with a little information about yourself and how your experiences relate to your proposed course(s)

Your Bio

If you are a new instructor for DACC Community Education, please call our office (575.527.7527) to schedule an appointment to meet with the Director to discuss your proposal(s).