The Cobscook Community Learning Center (CCLC) is dedicated to offering a wide range of quality, enrichment courses for all people of the Cobscook Bay region.  The Center collaborates with instructors to create a rich, positive environment that inspires life-long learning in a non-competitive setting.  We strive to develop courses that embody the following criteria:

holistic = experiential = cooperative = multi-generational = respectful of natural and cultural environments = responsive to diverse ways of learning about and perceiving the world

We are looking for qualified, enthusiastic instructors who are passionate about their topic and about sharing their knowledge and experience with others.  If you have a course you'd like to teach or develop for CCLC, please fill out this form.

Instructor Information

Instructor Name:
Address:
City:	State:		Zip:
Daytime Phone:
Evening Phone:
Email:		Website:

Program Information

Program title and description (if more that one program is proposed, please include additional information on another sheet):___________________________________________________ ______________________________________________
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Preferred dates, days and times for program:_________________________________
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Number of participants:  minimum (6)_______________    maximum____________________

Preferred age level of participants:________________________________________________

Any prerequisites for participation:________________________________________________

Space/equipment requirements for program:________________________________________
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Please provide a brief statement as to how this proposed program aligns with the CCLC mission statement and reflects the values identified at the top of page one of this application.

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Please refer to attached Instructor Contract for additional information (obligations, payments, cancellations, etc.).  Do not sign the contract until proposed program is approved by CCLC staff.

Contract between Instructor and

Cobscook Community Learning Center

______________________  will offer her/his professional and creative services as a course/program Instructor at the Cobscook Community Learning Center (CCLC).  In exchange for services offered, CCLC will compensate the Instructor $25/hr (see note under “Payment”) for actual class time (not preparation time). 

CCLC and the Instructor agree to the following terms and conditions.

Obligations of Instructor

·         To be competent to teach in your area of study.

·         To observe the program policies of CCLC as they may be issued from time to time.

·         To design and plan the course of study as part of the contract rate.

·         To show up on time for every class, except in the case of illness or emergency (in which case Instructor shall give CCLC as much notice as possible so as to notify students), 

·         To provide your own tools and equipment, unless other arrangements have been made in advance (student supplies will be incorporated into course fee).

·         To be aware of the CCLC Mission Statement and values, and reflect them in your course design and delivery. 

·         To communicate openly and freely all concerns, problems, and/or successes with CCLC staff.

·         To be familiar with CCLC facility use guidelines and communicate these guidelines to course participants.

·         To reflect the CCLC’s non-discrimination statement in interactions while at the Center.

·         To relax and have fun as much as possible!

Obligations of CCLC

·         CCLC shall provide appropriate facility space for programs.

·         CCLC shall advertise programs.

·         CCLC shall strive to secure scholarship funds to ensure access to all who would like to participate in programs.

·         CCLC shall administer the registration of course participants.

·         CCLC shall provide reimbursement for supplies needed for the completion of programs.

·         CCLC shall make staff support available to Instructor when requested.

·         CCLC shall encourage freedom of expression and be open for input to improve upon our programs.

·         CCLC will facilitate program evaluations and assessments and provide feedback and professional support to Instructor.

·        CCLC shall relax and have fun as much as possible!

Materials

·         If students are to bring supplies for the first day of class, please include a detailed list of items they should bring plus sources for specialty items.

·         If you plan to provide the necessary materials needed for your workshop, please consult the CCLC in advance so that we may establish materials fees and costs.

Payment

·         CCLC will pay Instructor $25.00 per hour of class time.  If less than 6 people register for a course, the CCLC and the instructor, upon mutual agreement, may still offer the course provided that the instructor accept a reduced rate of payment.  The payment for the course shall be equal to 60% of the course fees for that course. 

·         Instructors are responsible for taxes for income earned through teaching a course at the CCLC. Taxes are not withheld, nor does CCLC pay half of FICA taxes.

Liability

The work to be performed under this Contract will be performed entirely at Instructor’s risk, and Instructor assumes all responsibility for the condition of his/her tools and equipment used in the performance of this Contract.  Instructor agrees to hold harmless, defend, and indemnify CCLC for all liability or loss arising in any way from the negligence or misconduct of Instructor in the performance of this Contract.  Instructor and CCLC agree that Instructor shall be an independent contractor, and not an employee, of CCLC.

Cancellation

CCLC may cancel this Contract at any time by ten (10) working days’ written notice to the Instructor.  In addition, if the Instructor fails to comply with the written program policies or reasonable directives of CCLC, materially breaches provisions of this Contract, or for other good cause, CCLC at any time may cancel this Contract immediately and without prior written notice to the Contractor.

* Classes may be canceled if the class minimum of (6) students is not reached.  Every effort will be made to fill all classes.

We, the undersigned, hereby agree to the terms and conditions outlined above:

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Instructor’s signature________________________________Date_________

Name (Please Print):_____________________________________________

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CCLC Director’s signature____________________________ Date_________

Alan Furth

Non-Discrimination Statement

The CCLC reflects the diversity of the people of the Cobscook region and celebrates the diversity of all people.  We do not discriminate against current or prospective participants and employees on the basis of race, color, national or ethnic origin, sex, sexual orientation, religion, marital status, age, or disability.