Special Interest Class Proposal Form

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Special interest classes teach a specific recreation-oriented skill or topic of knowledge.

Thank you for your interest in sharing your time and talent with the City of Peoria! Class proposals are accepted on an on-going basis and reviewed as needed throughout the year. This is not an application. If your proposal is chosen for consideration in our program, you will be contacted regarding our application process. Due to publicity time-frames, classes are planned 4-6 months prior to the date on which they actually may be held.

Please correct the field(s) marked in red below:

1

What recreation/personal development class topic are you proposing to teach?

2

Which age group would you serve?  (Check as many as apply)

Which age group would you serve? (Check as many as apply)
3

What best represents your experience teaching this topic in a group setting?

What best represents your experience teaching this topic in a group setting?
4

In which settings have you taught this topic/skill? (check as many as apply.)

In which settings have you taught this topic/skill? (check as many as apply.)
5

What will students learn in your class?

6

Please briefly describe your class as if it were to appear in our publicity magazine.

(1 short paragraph geared to explain and inspire.)
7

What audio/visual equipment would be needed in our facility? (if any)

What audio/visual equipment would be needed in our facility? (if any)
8

What supplies would students need to purchase or bring for your class?

9

If applicable, what is the estimated cost of additional supplies for this class?

If applicable, what is the estimated cost of additional supplies for this class?
10

How long would each individual class meet?

How long would each individual class meet?
11

How many class meetings would be required?

How many class meetings would be required?
12

What is the maximum number of students you can accommodate in your class?

What is the maximum number of students you can accommodate in your class?
13

Please indicate which seasons you are available to teach your class (Check as many as may apply).

Please indicate which seasons you are available to teach your class (Check as many as may apply).
14

Please indicate which days of the week you are available to teach (check as many as may apply).

Please indicate which days of the week you are available to teach (check as many as may apply).
15

Please indicate what time of day you prefer to teach (check as many as apply).

Please indicate what time of day you prefer to teach (check as many as apply).
16

Please provide a recent reference who may verify your experience teaching this class.

Please provide a recent reference who may verify your experience teaching this class.
17

Please provide an additional reference.

Please provide an additional reference.
18

Your Name:

19

Your Daytime Telephone Number:

20

Your E-mail Address:

21

Are you proposing to teach this class as a... (please select one)

Are you proposing to teach this class as a... (please select one)
  1. To receive a copy of your submission, please fill out your email address below and submit.