Please complete the form below if you would like to teach a class or program for CLL.

Name

First Name

Last Name

Telephone Number

Email Address

Are you a resident of Leisure World

Are you proposing several session class of a single program session

What is the title of your class?

Please provide a brief description of your class

Please describe your background--academic or professional

Have you taught this subject before and if so how long ago?

Will you need equipment for your class or program?

What is the maximum number of students for this offering?

Is your class or program associated in any way with a for profit venture? If so, please explain.