COASTAL SENIOR COLLEGE

Affiliated with University College at Rockland

91 Camden Street, Suite 402        Rockland, Maine 04841



This is an abbreviated COURSE PROPOSAL FORM. A printable version is available here. You may need the free Adobe Reader to view and print the form.

1. Course Instructor or Facilitator: _____________________________________________

Mailing Address:______________________________________________

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Phone: ________________________________________

Email: ________________________ @ ____________________________________

2. Course Title: (The catchier the better! Be creative!) We suggest no more than 10 words.

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3. Course Description: (Please try to limit your description to 180 words, which represents 10 lines in our course catalogue)

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4. Preferred Term: Spring ______     Fall ______     Winter _______

5. Preferred Location:

Rockland area: _______________________________________

Damariscotta Area: ____________________________________________

Other Area (Note here): __________________________________________

6. Normally, classes are held during the day.

Preferred Day: ______________________

Preferred Times: _________________________ (usually 10:00 a.m. - 12:00 noon, 1:00 p.m. - 3:00 p.m, 2:00 p.m. - 4:00 p.m.)

7. Many classes are held for 8 weeks. However, this can vary considerably. Most are 2 hours in duration.

Fall semester usually begins the 3rd week of September. Some Winter classes are held in January, some in February. Spring semester usually begins the 3rd week of March.

How many class sessions do you anticipate: ________________

Preferred start date: ___________________________

End date: _______________________________

8. Please describe the ideal classroom arrangement: podium, chairs in a circle, etc.
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9. Additional course information: CSC cannot require students to purchase a course book. If it is highly recommended that they do so for your course, please indicate below the name of the book and the author. Your course catalogue description will then state at the end: "PLEASE NOTE: The class instructor highly recommends that students read or purchase (Name of book) by (Author of book)."

10. Minimum class size: ___________      Maximum class size:___________

11. Please present a brief summary of your experiences, particularly as they relate to the class you are proposing. This will be used in the course catalogue. Please try to limit your bio to 3 or 4 sentences if possible.

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(A printable version is available here. You may need the free Adobe Reader to view and print the form.)

PLEASE RETURN TO: Emily MacKenzie
By email: d-emack@midcoast.com
OR by post: 77 Roderick Road, South Bristol 04568
OR submit to any Curriculum Co. member

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