UFM Class Description Sheet FY 2017 (Fall 2016, Spring 2017, Summer 2017) Please complete one form for EACH class you will be teaching for UFM. PLEASE RETURN FORM BEFORE: Fall -- June 10, 2016; Spring September 30, 2016; – Summer March 10, 2017 – Fall Spring SEMESTER DATES (check one): Aug. 22-Dec. 18, 2016 Jan. 17-May 21, 2017 Summer June 5-Aug. 6, 2017 HOLIDAYS: Sept. 5, Nov. 24 & 25, April 16, July 4 *Spring Break March 20-24 – PLEASE RETURN FORM TO: Kayla Savage, Education Coordinator UFM Community Learning Center 1221 Thurston Street Manhattan, KS 66502 Phone: 785.539.8763 Fax: 785.539.9460 Email: CLASS TITLE: INSTRUCTOR(S): TITLE(S): PUBLISH? Y N FAX #: BUSINESS/ORGANIZATION: SOCIAL SECURITY # MAILING ADDRESS: street city zip NUMBER (day Number to publish in Catalog: day evening other none Scheduling Session 1 Session 2 Session 3 CLASS CLASS CLASS DATES(S) DATES(S) DATES(S) CLASS DAY(S) CLASS DAY(S) CLASS DAY(S) CLASS TIMES CLASS TIMES CLASS TIMES # MEETINGS # MEETINGS # MEETINGS (# times class meets) NUMBER OF PARTICIPANTS: Minimum Maximum No limit (In each session) This program is geared for: Adults Children Teens Families Are you planning any additional advertising? Yes No If yes, describe *Additional Advertising MUST be approved by UFM Education Coordinator Approved: Date: FEES/INSTRUCTOR EXPENSES PLEASE LIST AND ITEMIZE ALL CLASS FEES TO BE PAID TO THE INSTRUCTOR: TOTAL PER PARTICIPANT EQUIPMENT AND LOCATION NEEDS
UFM Class Description Sheet FY 2017 (Fall 2016, Spring 2017, Summer 2017) Please complete one form for EACH class you will be teaching for UFM. PLEASE RETURN FORM BEFORE: Fall -- June 10, 2016; Spring – September 30, 2016; Summer – March 10, 2017 SEMESTER DATES (check one): Fall Aug. 22-Dec. 18, 2016 Spring Jan. 17-May 21, 2017 Summer June 5-Aug. 6, 2017 HOLIDAYS: Sept. 5, Nov. 24 & 25, April 16, July 4 *Spring Break – March 20-24 PLEASE RETURN FORM TO: Kayla Savage, Education Coordinator UFM Community Learning Center 1221 Thurston Street Manhattan, KS 66502 Phone: 785.539.8763 Fax: 785.539.9460 Email: CLASS TITLE: INSTRUCTOR(S): TITLE(S): PUBLISH? Y N FAX #: BUSINESS/ORGANIZATION: SOCIAL SECURITY # MAILING ADDRESS: street city zip NUMBER (day Number to publish in Catalog: day evening other none Scheduling Session 1 Session 2 Session 3 CLASS DATES(S) CLASS DATES(S) CLASS DATES(S) CLASS DAY(S) CLASS DAY(S) CLASS DAY(S) CLASS TIMES CLASS TIMES CLASS TIMES # MEETINGS # MEETINGS # MEETINGS (# times class meets) NUMBER OF PARTICIPANTS: (In each session) Minimum Maximum No limit This program is geared for: Adults Children Teens Families Are you planning any additional advertising? Yes No If yes, describe *Additional Advertising MUST be approved by UFM Education Coordinator Approved: Date: FEES/INSTRUCTOR EXPENSES PLEASE LIST AND ITEMIZE ALL CLASS FEES TO BE PAID TO THE INSTRUCTOR: TOTAL PER PARTICIPANT EQUIPMENT AND LOCATION NEEDS
UFM%20Class%20Description%20Form%20FY17.docx