Course/Event Proposal

Proposer Information

First Name

Last Name

Mobile Number

Email Address

Confirm Email Address

Emails do not match.

email matches?

Instructor/Primary Contact Information

Will you be the instructor/primary contact?

YesNo

First Name

Last Name

Bio

Please enter a short bio, or url to a bio online. If proposal is accepted, instructors will be asked to submit a copy of resume and educational transcripts

Picture or Avatar

This will be used on brochures and catalogs, print, and online. Recommended.

Mobile Number

Email Address

Website

Gender

MaleFemale

Date of Birth

Does the instructor/primary contact wish to be compensated?

No, is donating timeYes, but will donate portion of compensation to ILIAYesILIA compensation is an hrly rate based on experience, performance and subject matter being taught.

How much does the instructor/primary contact expect to be compensated?

Enter hourly rate, no $ sign

Reference 1

Reference 1 First Name

Reference 1 Last Name

Reference 1 Email Address

Reference 1 Mobile Number

Reference 2

Reference 2 First Name

Reference 2 Last Name

Reference 2 Email Address

Reference 2 Mobile Number

Course/Event Details

Type of Proposal

EventMentoring
ClassTutoring

Name of Course/Event

Description

Restrictions

Prerequisites

If any, please enter prerequisites for participants in this course. This could include minimum GPA, grades or other achievements.

Target Population

Other Target Population

Target Age Group(s)

Hold Ctrl when selecting to select more than one option at a time.

Special requirements

Other requirements

Activities

Please list the activities that students/attendees will perform (one at a time)

Objectives

Please list the objectives of the course/event (one at a time)

Suggested Start Date

Number of Sessions

Duration of Each Session

Please enter in hours

Suggested Fee

This is the fee or tuition the proposer feels can reflect the value of the program. Does not include books, technology fees, supplies, meals or other fees the participant will pay

Class Level

Basic

IntermediateAdvanced

ILIA Standards

ILIA Standards

ILIA prohibits discrimination against any member of the Islamic Leadership Institute of America community on the basis of race, religion, color, sex, age, national origin or ancestry, marital status, parental status, sexual orientation, disability, or status as a veteran. ILIA will conduct its programs, services and activities consistent with applicable federal, state and local laws, regulations and orders. All proposals will be accepted based on merit and alignment to ILIA's mission, values and principles. Details of these policies can be found at http://www.islamicleadership.org/policies

Yes, I accept this standardNo, I do not accept this standard

Intellectual Property Standard

Student Course Handouts - I understand that I will retain the intellectual property of any course material or student handouts that I develop or use to deliver the program. ILIA Rights: I do agree that ILIA will have the right to receive an electronic copy of handouts and presentations used to add to its Leadership Resource Center for student, staff, volunteer and partner reference. I further understand that should ILIA have a reason to make copies of course content it will seek permission. In cases where ILIA is contracting with the Instructor to develop the course content and not just deliver the course ILIA shall retain the intellectual property rights to developed content, such cases will be handled under a separate agreement.

Yes, I accept this standardNo, I do not accept this standard

I understand that ILIA is not obliged to accept this course proposal. Once submitted, the proposal will be reviewed before being considered.

Yes, I understand