Workforce Training Center
Course Proposal Form

Step 1

Please completely fill out this form. The more information that we have about your course idea, the better we will be able to determine its feasibility.

*Name:
*Address:
*City:
*State:	Alaska Alabama Arkansas Arizona California Colorado Connecticut Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming
Zip:
Work Phone:	XXX-XXX-XXXX
Cell Phone:	XXX-XXX-XXXX
Home Phone:	XXX-XXX-XXXX
Please enter at least one contact phone number.
*Email Address:
Please leave blank!

Specific Course Information:

Suggested Title: 

Course Description (briefly describe the course content):

Instructor Bio (in 30 words or less, describe yourself):

Outline what your students will learn (be specific):

What Teaching Methods will you use?

Target Audience (who would take your class?)

Student's qualifications (age, previous study or experience):

# Hours/Session:
Total Class Hours:
Maximum Class Size:
# Sessions/Week:

Special Equipment needed (if any):

Have you taught this course, or plan to teach this course, elsewhere? YesNo

If so, where?  When?

Where would you like to teach? (Indicate all that apply.)

WTC Post Falls
SEC NIC at Sandpoint
Elsewhere

If elsewhere, indicate where:

Instructor Information

Other courses you may be qualified to teach:

Describe your teaching experience:

Describe your background and expertise relating to the course you would like to teach:

Who may we contact as a reference concerning your teaching/expertise?

Other comments:

Step 2

Submit your proposal form to the appropriate director below. (A copy will also be sent to the email address you provided above.)

Workforce Development Professional Development and Job-Related Training Kary Wells, Coordinator for Workforce Development (208) 769-3264 kary.wells@nic.edu
Office of Customized Training Training for Business and Industry Colleen Hoffman, Coordinator for Customized Training (208) 769-7732 Colleen.Hoffman@nic.edu