Instructors who have received notice that their course has been approved should complete and submit this form: Course Information Form: January-March, 2021 Course Information Form: January-March, 2021 Course Information Course Title * Name of Instructor Phone Email Proposed Start Date/End Date * Proposed Start Time/End Time * Proposed Day of The Week * Monday Tuesday Wednesday Thursday Friday Saturday Morning Frequency of Program (example: twice a week) * Number of Course Meetings * Are you able to offer this course virtually, using the Zoom platform? Note: Fall 2020 Courses will primarily be virtual. * Recommended Age Group * What cost would you need to charge (per student)? * Is there a kit/material cost for students? If so, what is the kit/material cost (per student)? * Registration Deadline (enter a date here) Minimum # of Participants: required to hold the class: * Maximum # of Participants * list of Supplies Needed Provided by Instructor Needed to be purchased by Participants Provided by Holmen Area Community Center Short Bio of Yourself * Course Description * Please provide any pictures that could be used to promote your class (.png or .jpg format preferred) Drop a file here or click to upload Choose File Maximum upload size: 134.22MB Other Collaborating Organizations for this Program PROMOTION - Courses will be promoted via the HACC website, Facebook posts and/or future marketing mailings. We will also print out a program listing for handout at the Community Center for visitors. SET UP Do you need any AV equipment (please check)? no Yes- Projector Yes- MIcrophone Yes- Music/Radio Yes, TV Are there any supplies needed from the facility (please check?)? no Yes- Projector Yes- Whiteboard Yes- Podium Yes, Copies Yes, Easel How would you like the room set up (please check?)? Leacture (all chairs, facing forward Party (tables with 3 chairs on each side) Classroom (table w/3 chairs facign front Square (tables in a square with chairs Other I have read and understand the General Information guidelines on instructing a course at the Holmen Area Community Center, the related forms and have provided the required information. Enter your full name in the space below to confirm this statement. * Submit If you are human, leave this field blank.