Lecturer Proposal Form Part I: Contact InformationTitleDr.Mr.Ms.Mrs.Name* First Last Address Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone*Email* Have you previously taught with LLeaP?*YesNoWhen (month & year)?*Title of previous series*Curriculum VitaeUpload a brief CV focused on past teaching experience.ReferencesProvide the names and contact information for two references that can speak to your teaching effectiveness.Name of ReferenceContact InformationAdditional Details Teaching PortfolioUpload a teaching portfolio (if available).Past teaching evaluationsUpload past teaching evaluations (if available).Part II: Series InformationSession(s) for which you are interested in lecturing* Early Fall (Sept-Oct) Late Fall (Nov-Dec) Winter (Feb-March) Early Spring (March-April) Late Spring (May-June) Type of LLeaP series*Please select oneLecture SeriesWriting WorkshopLanguage WorkshopSubject/title of LLeaP series*Description of LLeaP series*Please write the lecture series/workshop description in sentence form, and include a brief six-week outline. If you have more than one topic idea/description, please include it below.