Holmen Area Community Center – Course Information

Course Information

Course Title *

Name of Instructor

Phone

Email

Please indicate which program cycle you are intending to offer this course

Spring (March-May)

Summer (June-August)

Fall (September-November)

Winter (December-February)

What format do you intend to offer this class?

In-Person Only (Limited Capacity)

Virtual Only

Hybrid (In-person and virtual)

Proposed Start Date/End Date *

Proposed Start Time/End Time *

Proposed Day of The Week *

Frequency of Program (example: twice a week) *

Number of Course Meetings *

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)

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)?

Are there any supplies needed from the facility (please check?)?

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. *

Instructors who have received notice that their course has been approved should complete and submit this form:

Course Information Form

Course Information

list of Supplies Needed

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