Continuing Education New Course Proposal for Professional Development

1. Personal Information

First Name *This question is required.

Last Name *This question is required.

Home Address *This question is required.

Apt/Suite/Office

City *This question is required.

Province *This question is required.

Postal Code *This question is required.

Email Address *This question is required. This question requires a valid email address.

Main Phone *This question is required.

Alternate Phone

Occupation

Are you a Calgary Board of Education employee? *This question is required.

2. Proposal Information *This question is required.

Course Title

Target Audience

Max Total Hours

Course Description (70-100 words)

3. Required Equipment

Laptop
SMART Board
Projector
CD Player
Other Please enter an 'other' value for this selection.

4. Do You Offer This Course at Another Location in Calgary? *This question is required.

If yes, please complete the following.

Where

When

Course Fee

Please send your current resume to:

Continuing Education, Chinook Learning Services

Mailing Address:
Lord Shaughnessy High School
2336 - 53 Avenue SW - map
Calgary, Alberta T3E 1L2

Email: chinookconted@cbe.ab.ca

Additional Contact Methods

Information Desk: 403-777-7550

Website: ChinookLearningServices.com

Authorization for Collection of Personal Information
Personal information is collected under section 4(c) of the Alberta Protection of Privacy Act (POPA). This information is used for administering and evaluating Chinook Learning Services programs for statistical purposes. Personal information may be input into automated systems for processing and management purposes. It will be treated in accordance with the privacy protection provisions of POPA. Certain personal information may be made available to federal or provincial government departments or agencies under appropriate legislative authority. If you have any questions about the collection and storage of personal information, please contact Calgary Board of Education, 1221 8 St SW, 403-817-7899.