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Continuing Education

Proposal Form for a LIFE Class or Trip

* indicates required field(s).

Program Information

* Program Title:
* Semeter:
* Year:
* Number of Sessions:
* Length of Sessions
* Description for Program Guide (2-3 sentences):

Scheduling Preference

Please select multiple options by holding down the Control button while clicking on your choices.

* Time of Day:
* Day:
* Month(s):

Additional Comments:

Presenter Information

Presenter(s) Name:
Address:
City:
State:
Zip / Postal Code:
Phone:
Email:

Special Events Only

Trip Leader:
Meeting Location:
Carpool
Ticket Purchasing
Group Lunch Group Lunch Restaurant:
Group Dinner Group Dinner Restaurant:

Equipment/Arrangements Needed

CD Player
Computer
Data Projector
ELMO (document camera projects images from paper/books, etc)
DVD Player
Internet Connection
VCR
Other:
Room Preference:
Class Size Limited To:

Proposed By

Proposed By:
Phone:
Email:
Curriculum Committee Contact

Room 032 Old Main, 2100 Main Street, UW-Stevens Point, Stevens Point, WI 54481
Phone: 715.346.3838 | Hours: Mon-Fri 8:00am to 4:30pm
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