Teaching Interest Form

Term to Teach

Fall Winter Spring Summer Any term

Contact Information

First and Middle Name

Last Name

Phone

Email

Teaching Information

What do you want to Teach at Clark?

How should we describe your class to Clark students?

What days do you want to teach at Clark?

What times of day do you want to teach at Clark?

At which Clark campus do you want to teach?

Is your class a workshop or does it meet a number of weeks?

If your class meets a certain number of weeks, how many?

How many students is the max for your class?