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Community Professional Partner (CPP) Class Information Form

2. Please use the following form to submit your upcoming class information.
   Please note: this form is for previously approved CPPs. If you are a new instructor who would like to submit information for consideration to become a CPP, please use the CPP Inquiry Form.

   Please note: this form is for previously approved CPPs. If you are a new instructor who would like to submit information for consideration to become a CPP, please use the CPP Inquiry Form.

4. Personal Contact Information
   This information will be used for staff to contact you and will not be published.

   This information will be used for staff to contact you and will not be published.

6. Personal Email*

7. Personal Phone*

9. Class Information

11. Class Title*

    Must be under 4 words

13. Start & End Date
    Start & End Date Start Date

    —

    Start & End Date End Date

15. Dates Skipped*

    If none, please enter "none"

16. Total Number of Classes*

18. Days

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday

    1. Friday
    2. Saturday
    3. Sunday

    Check All That Apply

19. Class Time*
    Class Time Start Time

    —

    Class Time End Time

21. Class Location*

    Please include location name and street address.

23. Minimum Number of Participants*

24. Maximum Number of Participants*

26. Ages of Participants*

28. Partner Name*

30. Partner Budget*

    Total fee for class including materials

32. Activity/Program Description*

    Must be under 65 words

34. Logo

    If you are a new CPP, or if your logo has changed, please upload it.

Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field