Workshop Instructor Application Online Form

DEADLINE: Postmarked by February 25, 2008

Please complete a separate application for each workshop you propose, please refer to the information page for instructions and pay rate.

Please fill out the following form and provide all requested attachments. Review all of the requirements prior to beginning to fill out this form to be sure you have all of the necessary information.

After you submit this form, you will receive, by email, a confirmation of your submission and a copy of your submission including attachments. You must provide the appropriate email address in the "Your Email Address" field below in order to receive your email submission confirmation.

Your Name
Your Email Address

Other Names Associated with this application (one name per line)

Organization Name
Mailing Address1
Mailing Address2
City/Town
State
Zip
Day Phone
Evening Phone
Fax
Juried Craft Medium
Website URL/Address

Workshop Proposal
Please check your interest Any Age Children's Workshop - ages 5 to 12 Teen/Adult Workshop - ages 13+

Materials fee per person	$
Class size should be limited to	Students
Please describe your workshop
I am available to give this workshop on the following dates, in order of preference:
1. 2. 3.

Please list the equipment you will be using
I will need electricity	No Yes If yes, what electrical equipment/tools will you be using?

Additional Requests	Water Other