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Osher Lifelong Learning Institute at CSU East Bay

PROGRAM PROPOSAL

For additional information contact Kathleen Bryant.

fax: 925.602.6750 - phone: 925-602-6776 – kathleen.bryant@csueastbay.edu

Please complete this form and mail, email or fax it with a short curriculum vitae to:

OLLI at CSUEB

CSU East Bay, Concord Campus

4700 Ygnacio Valley Road

Concord, CA 94521

|Proposed Title (maximum 40 characters): |

|Instructor: |

|Residential Mailing Address (required to send your honorarium): |

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|Home Phone: |Work Phone: |Email Address: |

|( ) - |( ) - | |

|Description: (Use a maximum of 75 words in sentence format. Curriculum Committee may request additional information.) |

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|What is your availability to present a lecture or teach a course? Circle or check all that apply. |

|Proposed Length: |Preferred Day(s) of Week: |Proposed Time(s): |Suggested Date(s): |

|1.5 hrs (1 day) |Mo Tue Wed Thu |a.m. (10:30) | |

|8-10 hrs (4-5 weeks; 2 hr sessions) | |p.m. (1:30) | |

|Number of students preferred: |Lecture Location Preference: |Course Location Preference: |

| |Concord Campus _______ |Concord Campus _______ |

| |Pleasanton(Sat) __ Oakland(Tue) __ | |

| |Alameda: ________ | |

|What will the participants think or do as a result of participating in this program? |

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|Course Outline: (Use a simple outline form of the topics and subtopics that will be taught in the course.) |

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|Can you provide a short bibliography for the lecture/course upon proposal acceptance? yes - no |

|Duplicating required? yes - no If yes, approximately how many pages per student? |

|Will you be asking us to provide materials to conduct the class? |

|If yes, please list and estimate the cost or your request. |

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|Audio/Visual Requirements: |

|( Overhead Projector/Screen |

|( Computer/Projector |

|( Other: |

|Special equipment required is subject to availability at each facility. |

|Comments? Questions? Call or e-mail Kathleen, or write them in the space below. |

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Thank you for submitting a proposal. SCHOLAR-OLLI at CSUEB looks forward to your participation.

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