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Please gather all your information and then fill out the form in its entirety.Referred by: Course Title:* Faculty Name(s):* Address:* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email:* Phone:*Semester (Select from dropdown menu)Winter 2025 (1/13-3/14)Spring 2025 (4/7-5/30)Summer 2025Fall 2025Duration of Course:* 1 Session 2 Sessions 3 Sessions 4 Sessions 5 Sessions 6 Sessions Course Description (for catalog publication):*For examples of course descriptions, please view our current catalog, please click here.Course Category (Select category):* HUMANITIES (Arts, Film, Music, Literature, Foreign Language, Photography, Philosophy & Religion) HISTORY & GOVERNMENT (Politics, Rhode Island, U.S. History, World History) CURRENT EVENTS (Contemporary Issues, Entertainment, Food, Beverage, & Cooking, Government, Health, International) RECREATION AND WELLNESS (Fitness, Health, Leisure, Mindfulness, Personal Growth, Tours/Travel) STEM (Environment, Math & Science, Technology) Course Syllabus:*Please provide a description of what you will do each class session. To view an example of a completed proposal with course syllabus, please click here.Reading List:* Required Suggested Not Applicable Required Text:*Include publisher, author, title, date of each required reading.Suggested Reading:*Include publisher, author, title, date of each suggested reading.Have you taught this course before?* Yes No If yes, when/where did you teach this course? Location and datesTeaching Preference:* Classroom Zoom Off-Site No Preference Preferred Schedule (First Choice):MondayTuesdayWednesdayThursdayFridayTime:MorningAfternoonEveningPreferred Schedule (Second Choice):MondayTuesdayWednesdayThursdayFridayTime:MorningAfternoonEveningMultiple Submissions Preference (if applicable):Indicated order of preference if all cannot be accepted in one semester.Scheduling Notes:Provide any additional preference and notes to assist with scheduling your course. Include any dates, times, days unable to teach.Faculty Bio: New Revised On File Faculty Bio.*Assignment for 1st class session:Presentation Needs:Classrooms are fully equipped with projector and sound system. You will need your own computer. (Appointments to review system compatibility recommended.) If you have any special requests, please indicate.Enrollment Requests:Currently our in classroom limits are up to 45. Please indicate if you have a request for an enrollment limit.Would you be interested in creating a promotional video for your course(s) that will be used by URI OLLI on our website and social media?YesNoAlmost done! 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