Name of organization wishing to sponsor clock hours (If Raymond School District, state this)Physical address of organization Name, email and phone number of Point of Contact of person completing this form Title of Class Location of where class will be held Number of Clock Hours to be offered Sessions(List dates, start times and end times of all sessions)Agenda for this class(List each time and activity of each session)Learning objectives for this class(List all learning objectives)How does this class relate to our school and/or district improvement goals? Do participants have the option of purchasing college credits? Yes No Please certify that you will provide an evaluation for each participant. Yes, I will provide the required evaluation. State law requires that class members be allowed to complete an evaluation of the class that includes: i. Extent to which written objectives have been met ii. Quality of the physical facilities iii. Quality of oral presentation by each instructor iv. Quality of the written materials provided by each instructorPlease upload the vita of the person who will be teaching this class.Max. file size: 256 MB.State law requires that clock hour classes be provided by a person qualified in that subject. The vita should demonstrate the instructor's qualifications.