Youth Programs at Western

Prospective Instructor

Course Proposal Form

Western Youth Programs invites you to share your creative course idea for our youth programming.

Please fill out the form completely.  The more information we have about your course idea, the better we will be able to determine its feasibility as a class for youth programs. Make sure to click the submit button at the bottom of the screen to finish the course proposal. If you have questions, please email us at

Fields marked with * are required fields.

Confirm email:*
Street address:
Day phone:
Evening phone:
Course Information
Grade level:
Suggested title of course:
Course description:
Outline what your students will learn:
What teaching methods will you use?
Maximum class size:
Special equipment needed:
Special lab/classroom needed:
Instructor Information
Short Bio:
Other Courses you may be qualified to teach:
Page Updated 05.18.2015