AAPG Short Course Proposal

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This form is for submitting a proposal for a course or school. Additional supplementary documents or materials may be included for reference purposes. Be sure to use the exact title or topic and email address with all submittals for identification purposes. This form MUST be completed to ensure timely and accurate review by the AAPG Education Committee.

Red = required field.

Course Title or Topic:
Submitter's Name:
Submitter's Email:
Would you be the Primary Instructor?	Yes No
If not, who would be the Primary Instructor?
Primary Instructor Details:
Brief bio or vitae:
Company:	Leave this field empty
Address:
City:
State:
Postal Code:
Country:
AAPG Member #:
Phone:
Fax:
Email:

Additional Instructor Names (if applicable):

Course Details:

Suggested Duration of Course (# of days):

Potential Target Audience (Who should attend?):

What percentage of the course material will be delivered by? (select all that apply)

% Lectures | % Workshop Exercises | % Field Trip
% Core Workshop | % Online

Course Objectives: What practical applications the will attendee take away from
the course in terms of knowledge and job enhancement?

Content: Include key topics to be addressed

Course Notes to be given to attendees:
Number of pages, percentage mixture of text and figures, number of workshop exercises, glossary of terms, etc.

Materials, Equipment:
Most courses are assumed to be taught using PowerPoint slides, so a screen and LCD projector are standard A/V requests. Please specify any additional materials or equipment necessary to teach this course that will affect the cost of the course, such as colored pencils, rulers, triangles, drawing compasses, additional audio/visual needs (overhead and/or slide projector, second screen, desktop PC, etc.). Also, list materials each attendee will be required to bring such as a calculator, laptop computer, etc.

Is a specific location preferred for this course? If so, where and why?

Additional information not covered above you feel is pertinent to the uniqueness of this course:

References:

Please provide names and contact information of people who have either taken your course, or other professional colleagues who can attest to your experience and teaching credibility.

Name	Phone	Email

Please enter the above text exactly in the field provided below to validate this submission.

This proposal will be sent to the AAPG Education Department.

AAPG Education Department: P. O. Box 979 • Tulsa, OK 74101 • FAX: 918-560-2678

James Blankenship
AAPG Geoscience Director
Email : jblank@aapg.org

Debbi Boonstra
AAPG Education Coordinator
Email : debbi@aapg.org

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AAPG Short Course Proposal

Alternate Forms:

Red = required field.

Primary Instructor Details:

Course Details: