Instructor Non-Credit Course Form

Course Title:
Instructor Name:
Select One:
E-mail:
Phone:
-
Location/Room # (Assigned by Workforce)
Min and Max # of Students to Enroll:
Instructor Available - Days of Week Class Meets: (please check all that apply):

Available Times:

Semester:
Checkbox:
Start Time:
 : 
End Time:
 : 
Total Clock Hours of Course:
Instructor Hours:
Course Description:
List of Materials Required for Students and include the cost:
List of Materials for Instructor and include the cost:

Vendor Contact Information for supplies/materials:

Vendor Contact Information:
Vendor E-mail:
Vendor website: