Lifelong Learning Session Setup Request Form

Lifelong Learning Category*

Offering Title*

Description of Offering*

Dollar Amount(s) for Enrole Fee Code(s)*

If multiple fee codes need to be set up, separate with commas.

Location of Offering*

Date of Offering*

Time of Offering*

Enrollment Capacity Number*

Registration Start Date*

Registration End Date*

Facilitator/Instructor Name*

Facilitator/Instructor Business Name (if applicable)

Facilitator/Instructor Mailing Address*

Facilitator/Instructor Phone Number*

Facilitator/Instructor Email Address*

Facilitator/Instructor Bio (if applicable)