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Teaching Courses

We are no longer accepting proposals for CommUniversity 2017. Thanks.
Communiversity Teacher Form
Your Information
Professional Title: (Mr. Mrs. Dr. Rev.)
First & Last Name:
Home Street Address:
City, State & Zip Code:
Home Number:
Affiliation:
Daytime Phone:
Fax Number (if available):
Email Address:
Highest Degree Earned:
Administrative Information
Do you wish to limit your class size?
Yes, max#    No
Please list classroom equipment you will need
(computer, internet access, audio-video equipment, tables, mats) :

Course Information (please complete the text areas)
Course title:
Course Description for use in CommUniversity brochure. This is the exact copy that will be used in our marketing materials. Remember you are trying to market your course. If you are using a required text include Title/Author/ISBN in this description. If students need to bring special clothes or equipment or there are additional costs for supplies, PLEASE include that information in this description. (Please limit to 50 words).

Please list your qualifications for teaching the proposed course.

Please input the code for verification purposes:
B612

Once you submit this form, you will receive an email indicating that we received it. If you do not get an email response, then your course proposal did NOT go through and you need to resubmit.

Thank you for offering your expertise and time to our program!

Quad Cities CommUniversity, Inc.   639-38th Street, Rock Island, IL 61201
309-794-7259   katiehanson@augustana.edu