Course Information Form

Are you interested in teaching for OLLI or have a presenter in mind? If so, please complete the form below or download this printer friendly PDF form to submit your course information.

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Program Location

Presentation Information
Course Title:
Date:
Time:
Course description for newsletter:
Speaker Contact Information
Name:
E-mail:
Phone:
Address:
City:
State:
Zip:
Speaker(s) bio:
Equipment Information
AV Equipment Request:
 CD Player
 LCD Projector
 Overhead/Projector
 Audiotape Player
 Slide Projector
 Own Laptop
 VCR/DVD
 Computer (Mac OS)
 Other
Room setup needs and additional information:
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