ACS Chemistry for Life - Suggest a Course Form


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	Suggest a Course Form


	Mailing Address:
	American Chemical Society 1155 Sixteenth Street, N. W. Washington, D.C. 20036

	Phone:
	(800) 227-5558 x4508 (202) 872-4508 Fax: (202) 872-6336

	Email:
	shortcourses@acs.org

ACS Professional Education Course Proposal Form

To propose a new ACS Short Course, ProSpectives Conference or Webcast Short Course, please complete this form.

If we are interested in your course, we will contact you and ask you to submit a resume, references, and a more
detailed course outline/agenda.

This form processes in a Rich Text Format and will return an error if special characters are included in your proposal. Please remove special characters from your proposal; they can be added back in to the course description if your course is selected for presentation. If you encounter issues submitting this form, you may submit the same information via email to shortcourses@acs.org.

*Required fields

Title:
First Name:
Last Name:
Mailing Address:
Street/PO Box Address:
City:
State:
Postal Code:
Country:
Preferred Telephone:
Secondary Telephone:
E-mail:*
Organization/Company:
Job Title:
Please provide a brief bio of your professional history (500 character limit text box):


Proposed Course Information:

Proposed Title of Course (300 character limit):

Proposed length of course in lecture hours:


This course can be presented as a (check all that apply):
in-person short course online (webcast) course on-site (in-house) course
Please provide a brief description of your course (1000 character limit text box):

What are the 5-7 key topics your course will cover (500 character limit text box):

Who is the audience for your course, including industry, specialty, common job titles, etc.? (300 character limit text box):

How will attendees benefit from your course? How might it apply to problems they are trying to solve or how might it stimulate their own creativity? (500 character limit text box)

Tell us more about your thoughts on why this course is important to market today. Is this kind of training or education largely unavailable to certain market segments? How is your course different from what is available today? How is this course particularly crucial to one's career path or a particular industry? (1,000 character limit text box)

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