Please enable JavaScript in your browser to complete this form.Please fill this form out to submit your course proposal. You will be emailed by the Challenge to let you know your class proposal has been received. If your proposal is approved, you will be contacted with information on how to record and upload your course, or schedule a class time.First Name *Last Name *Organization *Phone *Email *Course TitleCourse Description, please describe in detail.Type of coursePre-recorded video, (Our preferred method)Live VideoCan we add your course to our library for students at a later date? YesNoCan your live course be recorded and made available for students at a later date? YesNoIs there a limit to the number of students your live platform will handle for your class? Please specify numbers below.Course Length8 Hours4 Hours2 HoursOther, please specify belowIf Other, Please Specify, (One hour, 3 hours, etc. We need to be able to let the students know how long the class will be so they can plan their day.)Delivery date preferenceLabor Day WeekOtherEitherCan students contact you for information after viewing your class?Yes by EmailYes by PhoneEither, email or phoneNoEmail *Phone *Email *PhoneAdditional CommentsDo you have another class to submitNoYesAfter clicking submit below, go back to hazmat.org and start a new form.Submit
