Name of Course Semester Fall Spring Yet to be determined Year 2024 2025 2026 2027 2028 Number of Sessions 1 2 3 4 5 6 7 8 9 10 11 12 Length of sessions: 1.5 Hours 2.0 Hours 2.5 Hours 3.0 Hours Preferred Day/Time/Dates: Please indicate the strength of your preference, and give other choices if you can. For example, is the day and time the only time slot you can use? Are you flexible? Can you come any day except a specific one?) Cancellation Preference If the class is cancelled because of weather or for another reason, should we reschedule the class or cancel it? Please
Reschedule Cancel Method Select the method that best describes your plans for this course Please
Lecture with Q&A
DVDs with discussion
Reading/Discussion
ZOOM Lecture with Q&A
Skill/Activity
Other (Add comments below)
Maximum Class Size Course Description Further Information Comments about the course you are proposing Presenter Information Name: Professional Title: Street Address: City: State: ALABAMA (AL) ALASKA (AK) ARIZONA (AZ) ARKANSAS (AR) CALIFORNIA (CA) COLORADO (CO) CONNECTICUT (CT) DELAWARE (DE) FLORIDA (FL) GEORGIA (GA) HAWAII (HI) IDAHO (ID) ILLINOIS (IL) INDIANA (IN) IOWA (IA) KANSAS (KS) KENTUCKY (KY) LOUISIANA (LA) MAINE (ME) MARYLAND (MD) MASSACHUSETTS (MA) MICHIGAN (MI) MINNESOTA (MN) MISSISSIPPI (MS) MISSOURI (MO) MONTANA (MT) NEBRASKA (NE) NEVADA (NV) NEW HAMPSHIRE (NH) NEW JERSEY (NJ) NEW MEXICO (NM) NEW YORK (NY) NORTH CAROLINA (NC) NORTH DAKOTA (ND) OHIO (OH) OKLAHOMA (OK) OREGON (OR) PENNSYLVANIA (PA) PUERTO RICO (PR) RHODE ISLAND (RI) SOUTH CAROLINA (SC) SOUTH DAKOTA (SD) TENNESSEE (TN) TEXAS (TX) UTAH (UT) VERMONT (VT) VIRGINIA (VA) WASHINGTON DC (DC) WASHINGTON (WA) WEST VIRGINIA (WV) WISCONSIN (WI) WYOMING (WY) Zip Code:
Email Address: Phone: Cell Phone: Introduction Please provide us with an introduction of yourself (100 words max) Room and Equipment Needs Tables
Number of small tables: 1 2 3 4 5 6 7 8 9 10 11 12 (One will be provided to sign-in)
Number of large tables: 1 2 3 4 5 6 7 8 9 10 11 12 Visuals: DVD player
VCR
Whiteboard
Projector (to connect to a computer)
Computer/Projection: Power Point: Please note that all PowerPoint files must be provided one week prior to your presentation, so that projection and screen arrangements can be assessed. Please contact your Coordinator for details. Check if you will be bringing your own computer.
If so, let us know if your computer cannot connect to a standard VGA cable, so a computer can be provided for you to use.
Microphones: Unless otherwise requested, large-audience courses will be provided with a handheld microphone on the podium for the presenter and two additional handheld microphones will be used for questions. Check if you need a lapel microphone
** A prior appointment must be made to adjust the device to your voice, usually about a half-hour before the first meeting. Please contact your coordinator about this.
Additional Set-Up Information ALP/ Curriculum Committee Contact/Coordinator Contact/Coordinator's email
**When you have completed the ALP course proposal form, save it on your computer with your name as part of the file name and send it as an email attachment to each of the following people:
gtgworek@gmail.com, bethathena@aol.com , and admin@uconnalp.org **
Thank you very much for your interest in proposing a course for the Adult Learning Program (ALP). For further information about ALP or questions about the Proposal Form, please contact Jenny Gaines in the ALP Office (860-785-5609 or admin@uconnalp.org)