| Instructor Name: |
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| Address: |
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| City: |
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| Province: |
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| Postal Code: |
(Ex. A1A 1A1)
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| Day Phone Number: |
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| Home Phone Number: |
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| E-mail Address: |
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| Suggested Course Title: |
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| Preferred Day: |
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Alternate Choice of Day:
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| Class Times: |
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| Number of Sessions: |
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| 1. Special room requirements (i.e. movable desks, multimedia, facilities, etc): |
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| 2. Brochure description: 25-50 words maximum - explain the what, how, why and who, and make it concise! Please attach any supporting information. |
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| Upload supporting information if required: |
* MS Word, txt, or PDF only
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| 3. Course Objectives: List the major course objectives ("Participants will be able to:"):
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4. Class Costs:
Please list (according to usage) those items and costs to be incurred.
- College will set tuition rate; however, fees can fluctuate based on materials purchased for class instruction and/or student use.
- Materials purchased for class instruction might include instructional posters or items used for class demonstrations.
- Materials purchased for student use might include those tools, books, or supplies which students need in class and will take home.
- Any materials purchased for class use must first be approved by the coordinator. No reimbursements can be made without official receipts.
Materials Purchased for Class Instruction
5. If a textbook is required, please complete the following:
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Title: |
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Author: |
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Edition: |
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Publisher: |
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Supplier's Address: |
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Approximate Cost: |
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ISBN: |
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Note: If class is scheduled, instructor will be required to provide students with outline,
including objectives and learning activities. This outline is for current and future use by Lambton College, for promotion of this subject area.
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Please attach your resume: |
* MS Word, txt, or PDF only |