Forms • Bartlett • CivicEngage

Instructor Courses -- Brochure Information

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If you are teaching multiple courses in the same time frame, do you agree to fill out a form for each course?*	Yes
Instructor Name:*
Instructor Email & Phone Number:
Course Name:*
Course description: You may attach a flyer or document below-- If you attach a file, please note that in this answer box.*
Course supplies needed to operate the class:
Course Start/End Date: -- If submitting for multiple sessions, please note that in the answer box.*
Dates you plan on canceling for the session: -- If you have a last minute cancelation, be sure to let the Singleton Staff know.*
Course Description	Convert to PDF? (DOC, DOCX, XLS, XLSX, TXT)
Flyer	Convert to PDF? (DOC, DOCX, XLS, XLSX, TXT)

* indicates required fields.