Course Request Form

When requesting a course in your area, we ask that you meet the following requirements:

  • An adequate classroom facility that will accommodate at least 25 people
  • A large writing surface (i.e. blackboard) available for instructor’s use
  • Classroom should have AC/heating and be in an area with minimal distractions and noise
  • A local coordinator responsible for scheduling the course, providing the facility, promoting the course locally and acting as a point of contact
  • Commitment of a minimum of 14 students from requesting or neighboring utilities for day classes and a minimum of 16 students for evening or night classes
  • Please request course four months prior to date courses are needed.

Exceptions will be considered upon request.

Course Information

Course Title/Credit Hours/Fee:

Other Course:

Preferred Month: Year:  Day or Night Class

Host Information

Host

Mailing Address:

City: State: Zip:

Contact Name:

E-mail:

Telephone: Fax:

Course Location

Classroom Facility Name:

Physical Address:

City: State : Zip:

Telephone for directions:

Directions: