Course Request Form
| First Name : | |
| Last Name: | |
| Address: | |
| City: | |
| State: | |
| Zip: | |
| Phone: | |
| Best Day to Call: | MM-DD-YYYY |
Course Title:
Academic or Arts Area:
Preferred Time: AM PM
Preferred Day of the Week:
Preferred Location:
| Highland Park Church | Highland Park Senior Center |
| Freehold | Clark |
Format for the course: Please identify the format you plan to use. This information will be printed in the course catalog.
| Presentation/Lecture | Moderated Discussion |
| Presentation/Discussion | Research and Reporting |
| Interactive | Guest Speakers |
Course Features: Please indicate which of these you will incorporate.
| Reading List |
| Session Outline Sheets |
| Audio/Visual Aids (Charts, maps, slides, audio tapes, CD's, Power Point (LCD)) |
| Videotapes/DVD's |
| Related News Articles |
| Text or Related Literature (May be ordered through the bookstore). |
| Other, Please Specify: |
Brief Description and Topics for Sessions: (Maximum 250-400 words) Please provide either a list of topics to be covered or an overview of the content ot be included in the course/lectures. These will be used in the description printed in the catalog.
Instructor/Session Leader Information: (Maximum 40 words) Please provide any relevant information about yourself, and how to be listed, for the inclusion in the catalog with cousre/lecture description.
Course Size: Please select your preferred group size.
| Seminar (13-15) |
| Presentation (20-35) |
| Lecture (30-100) |
Email or call office to confirm audio/visual needs two weeks before course/lecture begins. (732-932-7233 / olliru@dceo.rutgers.edu)
OLLI-RU will photocopy any materials you need if they are provided 7 days in advance of your course/lecture. Books for your group will be ordered through University bookstore. Please let me know if this will necessary a few weeks before your first session.
Please call Marvin Schlaffer (732-932-7233) if you have any questions. Please leave a voice mail if prompted.
Thank you so much for being a part of our Lifelong Learning Institute!
Marvin Schlaffer, Director, OLLI-RU
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