California State University, Long Beach



OSHER LIFELONG LEARNING INSTITUTE

AT CALIFORNIA STATE UNIVERSITY, LONG BEACH

COLLEGE OF HEALTH AND HUMAN SERVICES

INSTRUCTOR /CLASS PROPOSAL FORM

|General Information: If you would like to lead an OLLI@CSULB class, complete this form and submit it to the OLLI Office. Within four weeks |

|you will be contacted by a member of the Education or Technology Working Group who will help you schedule the day, time, and location of the |

|class. Please contact the OLLI Office at 562 985 8237 for confirmation or more details. |

OFFICE USE: L T N R

|Name |Email |

|Home Phone |Cell Phone |

|Address |

|New Instructors ONLY: Area(s) of expertise/interest/passion |

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|Optional: Curriculum vitae attached? |

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|Do you wish your title or degrees to appear in the class schedule? Yes No |

|Proposed Class Title: |

|Class Description: brief, informative and inviting -- about 50 words or less. |

|See OLLI website (csulb.edu/olli) for samples. |

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|What are your learning objectives? What do you want the students to get out of your class? |

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|Classroom equipment: Most OLLI classrooms are equipped with computer, multimedia projector, DVD Player, document scanner, etc. |

|Will you need any of this equipment? Yes No |

|Will you need orientation to equipment? Yes No |

|Any other equipment? If so, describe |

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|Class Days and Times: OLLI class hours are 8:00 AM - 5:00 PM, Monday through Friday. |

|Some Saturday and weekday evening class times may be available. Class sessions typically are 90 minutes long and meet once a week for 8 |

|weeks, however adjustments will be considered. |

|Do you have any day or time requirements/preferences? Yes No |

|If yes, describe. |

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|Would you be interested in teaching an evening or a Saturday class? Yes No |

|OLLI Sites: OLLI has several classroom locations where instructors can teach |

|CSULB Campus or American Gold Star Manor (AGSM) St. Isadore Plaza (STI) |

|Recreation Park Center (REC); Pine Avenue (PA); Jewish Community Center (JCC) |

|Do you have a preferred OLLI site? Yes No |

|If yes, which site? |

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|If CSULB Campus: Do you need a parking permit? Yes No |

|Other comments: |

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I understand that the class leaders/instructors at OLLI @CSULB are volunteers and that they receive no financial remuneration for their teaching efforts.

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Signature Date

10/2/2020

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