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Course Proposal
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Steps
1.
Program Type Information
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2.
Instructor Name and Business / Organization
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Program Type Information
Assigned Program Coordinator
*
Please select which Program Coordinator you have been assigned to.
Marija Bleier
John Dunn
Lindsay Gallardo
Amy Cooper
Leah Madonich
Tim McGrath
Unknown
Age Group
Early Childhood (0 to 4 years)
Youth (5 to 10 years)
Teen (11 to 17 years)
Adult (18 years and older)
Senior (55 years and older)
Type
Sport & Fitness
Cultural Arts
Performing Arts
Other
Other
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Instructor Name and Business / Organization
Instructor
Business / Organization
Mailing Address
City
State
Zip Code
Home Phone
Work Phone
Mobile Phone
Fax
Email Address
Brochure Edition (note session proposal deadlines)
Summer
Fall
Winter
Spring
Seniors: December/January/February
Seniors: May/April/May
Seniors: June/July/August
Seniors: September/October/November
Course Title
Course Description
New Course Description
Revised Course Description
Previous Course Description
Course description for activity guide, 25 words or less (leave blank if no revisions):
Special instructions for participants - prerequisites, clothing, supplies to bring to class, etc., 25 words or less (leave blank if no revisions):
Day(s) of week class held
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Course Date and Time
Course Date and Time Start Date
Course Date and Time Start Time
—
Course Date and Time End Date
Course Date and Time End Time
No Class Dates
Make-Up Class Dates
Total number of classes in session
Facility Requested (Choice 1)
DCC = Danville Community Center
OHP = Oak Hill Park Community Center
VMB = Veterans Memorial Building
Baseball Diamond
DCC Art Room
DCC Las Trampas Room
DCC Lounge
DCC Valley Oak Room
Gym
Library
Magee House
Mount Diablo Room
OHP Ballroom
Soccer Field
Swain House
Teen Center (CWMS)
Teen Center (DVMS)
Teen Center (LCMS)
Town Meeting Hall
Village Theatre
VMB Auditorium
VMB Upstairs Room
Other
Facility Requested (Choice 2)
DCC = Danville Community Center
OHP = Oak Hill Park Community Center
VMB = Veterans Memorial Building
Baseball Diamond
DCC Art Room
DCC Las Trampas Room
DCC Lounge
DCC Valley Oak Room
Gym
Library
Magee House
Mount Diablo Room
OHP Ballroom
Soccer Field
Swain House
Teen Center (CWMS)
Teen Center (DVMS)
Teen Center (LCMS)
Town Meeting Hall
Village Theatre
VMB Auditorium
VMB Upstairs Room
Other
Facility set-up instructions (be specific, e.g., include number of tables or chairs and their placement):
Resident fee (instructor receives 60% per student - Format: ##.##):
Additional materials fee, if applicable (must be able to justify with receipts):
Minimum class size (# of students):
Maximum class size (# of students):
Minimum participant age:
Maximum participant age:
If you are a potential, new instructor, have you completed and submitted a New Instructor Application?
Yes
No
Other notes for Coordinator:
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