Community Course Proposal Form BACC Community Course Proposal Form Use this form to outline a class or workshop that you would like to offer at the Ballston Area Community Center. A staff member will follow up with you after your submission to discuss your proposal. Step 1 of 2 50% Instructor InformationYour Name First Last Business Name (if applicable)Your Email Address Your Email Address Enter Email Confirm Email Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Your PhoneYour Current EmployerYour Current PositionIf you have a DBA, please name it here.Please provide a brief biography that can be used by BACC on our website or to promote the course.If you have a resume, please upload it here.Max. file size: 64 MB.Have you taught the class you are proposing before? Yes No Please describe your relevant education and/or experience that qualifies you to teach this course?References(Required)Please provide the names and contact information for three references we can speak to that are able to speak to your expertise in the course topic.NamePhone NumberEmail Address Add Remove Course InformationWhat type of course are you proposing? Fitness & Wellness Arts & Crafts Cooking, Food & Nutrition Hobbies Professional Development Languages Community Education Music & Dance Other Course TitleCourse DescriptionWhat is the goal for this class? (i.e. what will participants be able to do or know after taking it?)Describe the learning objectives for this course.Audience (Who should take this course and why?)Does this course require participants to have previous knowledge, pre-requisite classes or other special conditions?What do you need to make this class successful? (Please indicate what type of room is needed, if you require A/V equipment or specialized equipment for this course.)Please list any required student materials and estimated costs.Ideal number of students (minimum class sizes are usually between 8 and 10):Maximum number of students:Course SchedulingHow long do you need to deliver this course?Please indicate total hours for this course.Ideally, how many sessions will it take?(e.g. A one-day class is 1 session; a class that meets every Tuesday for three weeks is 3 sessions, etc.)Please indicate what day(s) and time(s) would you prefer to offer this course?MondayTuesdayWednesdayThursdayFriday Add RemoveTuition and PaymentWhat is the average fee charged for this course?What is your hourly rate for teaching this course?Please click the "Submit Application" button below. After your course proposal has been received and reviewed, a BACC staff member will contact you. If you have any questions, please contact Brian Shilstone, Community Coordiator, at brian@ballstonareacc.org or at (518)885-3261. Thank you for your interest in teaching a class at the Ballston Area Community Center!