Osher Lifelong Learning Institute – OLLI Course Proposal Form

Thank you for your interest in teaching at OLLI Mason. Please fill out the following course proposal form in its entirety, as we need all of this information for curriculum development. Click guidelines on writing OLLI course descriptions.

Forms will be reviewed by OLLI’s Program Planning Committee with the aim of providing a diverse and quality curriculum of interest to our membership. Expect a prompt response about your proposal from our program planners.

OLLI Course Proposal Form

Term
Course Title*
Course Description (recommend no more than 150 words - can be revised at a later date)*
Please enter the number of class sessions needed.*
Preferred Location: Please select all that apply.*
- Loudoun
- Reston
- Fairfax
- Any
Would you be willing to repeat this course in the future at another OLLI location?*
- No
- Loudoun
- Reston
- Fairfax
- Any
Select Choice of Time and Day:
Choice 1:*
Choice 2:*
Choice 3:*
Any scheduling conflicts?
Max. Number of Students: (insert "no" or maximum #)*
Min. Number of Students: (insert "no" or minimum#)*
Unique Classroom Need?
All OLLI classrooms are equipped with state of the art audiovisual equipment to support all types of academic presentations. A site assistant will contact you at a later date regarding specific set-up needs. If you know now that you will need something extraordinary in the classroom that may impact your room assignment - like a piano, kitchen - please indicate that below.
Instructor 1 Information:
Name:*
First Last
Email:*
Daytime Phone:*
Alternate Phone:*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Instructor Bio (Limit: 50 words.)*
Instructor 2 Information (if applicable):
Name:
First Last
Email:
Daytime Phone:
Alternate Phone:
Instructor 2 Phone (alternate):
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Other
Are you already working with an OLLI member or staff on this course proposal? If so, indicate here:
Phone
This field is for validation purposes and should be left unchanged.

OLLI Course Proposal Form

OLLI Course Proposal Form

Select Choice of Time and Day:

Unique Classroom Need?

Instructor 1 Information:

Instructor 2 Information (if applicable):

Other