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Older Adults & Coronavirus

UNF OLLI Instructor Form

INSTRUCTIONS:

Thank you for volunteering with OLLI at UNF!

For the best result completing this instructor form, please use either Firefox or Chrome as your browser. If you do not have either browser installed on your computer, please visit Firefox or Chrome to download. Once downloaded, open the new browser and navigate back to the OLLI Instructor form. Finally, please ensure that all required fields on the instructor form (marked with an asterisk) are completed.

TIPS:

Do not use tab key to move between topics. Using the tab key will skip over required fields.
Please review the form in its entirety before beginning to fill it out. You cannot return to a partially completed form.

* Indicates required field

Term Information

* 1. Using the drop down menu, select the term in which you will be teaching the course described in this form.

Instructor Information

2. Contact Information

* First Name:

* Last Name:

* Street Address:

* City:

* Zip Code:

* Phone Number:

* email Address:

3. * Are you a new instructor for OLLI?

4. * Instructor's biography for the catalog (3 to 5 sentences. If you are a "returning instructor" and want to use your previously submitted bio, enter SAME):

If there is a second instructor for this class, please enter name, address, email, phone number and bio here.

Course Information

5. * Course Title:

6a. * Is this a new course?

6b. * A repeated course with new content?

7. * Number of students:

Minimum Maximum

8. Course Description - Please write a couple of sentences in response to the following three questions:

* a. WHAT will participants learn in this course? Give a general statement of what participants will learn and list 3 to 5 of the major topics.

* b. HOW will participants learn, e.g., lecture and discussion, active participation/facilitation of material, outside reading or other preparation?

* c. FOR WHOM is the course designed, e.g., prerequisite knowledge, or skills?

9. * Is there a materials fee that students need to pay you directly?

If YES, please list the fee amount and what it will include.

If students must acquire materials on their own, specify RECOMMENDED or REQUIRED, and cite materials.

10. What physical health or strength is required? Are there accessibility parameters? Are there clothing recommendations?

11. * Please indicate in priority the days you prefer to teach. Please select different days of the week for each choice.

Choice 1:

Choice 2:

Choice 3:

12. * Please indicate in priority the time of day you prefer to teach. Please select different times of day for each choice.

Choice 1:

Choice 2:

Choice 3:

Other (note time):

13. * How many times will this class meet?

14a. * What is your FIRST choice for a start date for this course?

(MM/DD/YYYY)

14b. * What is your SECOND choice for a start date for this course? Please do not repeat your first date as your second choice.
(MM/DD/YYYY)

15. Please let us know of any special scheduling requests you have that have not been addressed in the above questions.

16. * Which campus do you prefer as your teaching venue? (Please select as many as apply.)

Fleet Landing (Atlantic Beach)
Westminster St. Augustine (World Golf Village)
UNF (Adam W. Herbert University Center)
Westminster Woods at Julington Creek (St. Johns)

Classroom Support, Set-up, & AV for This Class

17. * Please select your preferred classroom set-up. We've indicated the maximum number of students for each style.

Classroom (students face front); max. # of students 12, 18, 24 or 28
U (open at one end); max. # of students 12 or 16
Square (not recommended if using AV); max. # of students 12 or 20
Other

If other, please specify:

18. Please help us ensure your classroom configuration is arranged to maximize the teaching and learning experience. Use this open field to provide any additional information about your needs.

19a. * Select which is most important to you.

Room configuration
Maximizing the number of students in the class

19b. * From which location will you teach?

Stand at podium
Seated with students
From a separate table

20. * Let us know which classroom equipment you want OLLI to provide for you. Check all items you think you might need.

NOTHING
Computer
Projector
Speakers**
VHS Player***
Flip chart/markers
Microphone
CD Player

NOTE: We urge you to schedule an AV appointment a week in advance of your class to test any personal equipment you will use to present your class content (e.g. personal laptop, DVDs, flash drives, etc.).

**Portable speakers will have limited sound volume

***VHS players are not available in all rooms

21. * Will you be using a personal Apple device for teaching?

If YES above, please specify type of device.

22a. Will you use PowerPoint to present your content?

22b. Will you use presenter notes with a separate display for students?

23. Will you have handouts you would like us to duplicate? If Yes, please submit document(s) by email to the Customer Care Team, unfce@unf.edu at least two weeks before copies are needed.

24. Please use the following space to tell us about any special setup or other requirements for your class that the above questions have not captured. The Customer Care Team will do its best to meet your needs and be in touch if modifications are required.

25. Please use the following space to let us know how we might assist you personally with any special needs to accommodate mobility or health issues.

Please review your form before continuing. If you're prevented from checking "I'm not a robot" or the "Submit" button, recheck your form for completeness.

If your form is successfully transmitted to OLLI, you will receive an instant "Thank You" message and a copy of your form was sent to your email address. Please keep the copy for your records.

If you do not receive an instant "Thank You" message and a copy of the form, or if you notice information that needs to be corrected, please contact your liaison."