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ElderCollege Course Proposal VANCOUVER ISLAND UNIVERSITY Nanaimo Campus Parksville/Qualicum Centre 900 Fifth Street Parksville Civic & Technology Centre Building 200 100 Jensen Avenue East, Box 42 Nanaimo, BC V9R 5S5 Parksville, BC V9P 2G3 Title of Course (maximum 6 words): Please check if you are returning to teaching or if you are new: Returning or New Instructor Name: Address: City, Province: Postal Code: Phone: Email: Birthdate (MONTH/DAY/YEAR needed for your free membership): ***Double click on boxes to change the Default Value to Checked*** Please check your preferred location for teaching: Parksville Nanaimo both either Check your preferred days and times for teaching: morning afternoon Monday Tuesday Wednesday Thursday Friday Check your availability to teach in one or more of the ElderCollege terms (exact dates TBD): Term 1: Sep/Oct 2012 Term 2: Nov/Dec 2012 Term 3: Jan/Feb 2013 Term 4: Mar/Apr 2013 To keep costs low for students, and to encourage classroom discussion, we limit photocopying to 30 pages per student for each course. Please consider carefully when selecting the most relevant readings for your course. If you are offering a course that relies on more extensive readings (a literature course, for example), please indicate your best estimate as to copying needs: # of pages per student = Is a text required? If yes, a Program Assistant will be in touch with you for more details. Yes No Please list any specific equipment that you would like to have for teaching: Description of course for promotion (70 words maximum): Instructor Short Biography (35 words maximum): Course Outline WEEK 1: Topic: Information to be covered in the class: WEEK 2: Topic: Information to be covered in the class: WEEK 3: Topic: Information to be covered in the class: WEEK 4: Topic: Information to be covered in the class: WEEK 5: Topic: Information to be covered in the class: WEEK 6: Topic: Information to be covered in the class: Suggested readings, supplies, and other information that you wish students to know: Please email the completed form to Regan McKeever, Program Coordinator, firstname.lastname@example.org for consideration. Thank you.
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