Instructor Name:
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Business/Organization Name:
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Address
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City
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State |
Zip
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Home
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Work
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Mobile
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Fax
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E-mail Address
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Please describe your background and experience:
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Proposed course and/or subject matter:
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Proposed age range for class participants:
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List 3 program outcomes (i.e., As a result of this class, participants will be able to...):
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Why should the Town of Danville offer your class?:
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List other locations/agencies where you have taught or are already teaching the proposed class:
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Provide 3 references with phone numbers:
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Have you submitted a Course Proposal in addition to this application?
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A Program Coordinator will contact you to arrange an interview after receiving your Application and Course Proposal. Please be prepared to provide a course outline, sample materials, information about your organization, etc.
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