Continuing Education Course Proposal Form

Thank you for your interest in working with Hagerstown Community College. HCC is constantly working to develop new and relevant courses for its continuing education curriculum. Please complete the following information and return your completed proposal to Samantha Willard at slwillard@hagerstowncc.edu.

Course proposals are accepted on an ongoing basis. Continuing Education staff will use the information provided to assist in scheduling non-credit courses for fall, winter, spring and summer semester course catalogs, as well as in developing individual customized training sessions. You will be notified that your proposal has been successfully received and will be placed on file with the HCC Continuing Education and Business Services Division. If your course is accepted, a program manager will contact you to coordinate the details of the course and gather any additional information.

Instructor Information

---

Name

Course Proposal Information

---

Title

Company

Address

State

- None -Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Email Address

Home Phone

Cell Phone

Business Phone

Professional Qualifications

Attach Resume

Expected Compensation

Course Title

Total Course Hours

Suggested Schedule

Preferred Dates

Please explain any time needed to prepare for the class.

Are you offering this course anywhere else?

- None -No

Where and when?

Course Description

Intended Audience

Objectives

Materials and Equipment

Class Size

Suggested Marketing/Promotion

Other Relevant Information