Class Proposal Form"*" indicates required fieldsURLThis field is for validation purposes and should be left unchanged.Thank you for your interest in teaching a class or workshop at 171! We are always looking for new instructors and new classes to add to our offerings. Please fill out the form below as completely as possible to let us know more about the class you are proposing. When you submit the form, it will go to our Program Manager, Kristi Burns, who will review the information and let you know if we would like to move forward with a meeting to learn more about you and your class idea. Thank you for taking the time to complete our proposal. We are excited to learn more about you!Tell us about yourself:Date* First name*Last name*Email* WebsiteAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Cell phone*Home phone (optional)Current resumeMax. file size: 256 MB.Artist bio (attach here or type in block below)Max. file size: 256 MB.Attach images you would like to share (i.e., samples of your work)Max. file size: 256 MB.Headshot photoMax. file size: 256 MB.Personal/work reference #1*Please provide name, relationship, and phone numberPersonal/work reference #2Please provide name, relationship, and phone numberSuggested Pay Rate5-8 Sentence artist biographyTell us about your class:Class Title*This proposal is for a: 1 or 2 day workshop 5-7 week class 10 week class Week-long campIf other, explain belowWhen are you available to teach?What date are you able to start teaching? Available Teaching Days Sunday Monday Tuesday Wednesday Thursday Friday SaturdayTeaching Day Preference Sunday Monday Tuesday Wednesday Thursday Friday SaturdayStarting time Hours: Minutes AMPM AM/PMEnding time Hours: Minutes AMPM AM/PMWill you need setup and/or clean up time? No YesIf yes, how long?SetupCleanupHow long is your class?Student agesLet us know the age range you are planning your class for or the ages you feel comfortable teaching. Toddler (18 months-3) Young Child (3-5) Youth (6-11) Teen (12-17) Teen/Adult (13+) Adult Only (18+) Parent & ChildMaximum class size preferenceMinimum students required to open a class is 3 or 4.What specific supplies will be needed for your class? How many of each item? List the estimated cost per item. We may have some basic supplies available.Example: Watercolor papaer, student grade quality, 22"x30" - 20 page - .67 per page - $13.40Item & description# of itemsCostTotal Add RemoveDoes your class require certain equipment or facilities?Example: Laptop, projector, instruments, performance space, etc. No YesIf yes, please explain belowDo students need to bring anything to class? No YesIf yes, student should provide the followingDescription of classPlease describe in 3-5 sentences what your class is about.Describe your curriculum or class activitiesGive step by step activities that will be completed in the class.What key techniques/terms can students expect to learn?What product will students walk away with?Please describe the finished product the students will complete in the class to take home with them.Example of finished product #1Please attach a photo of a piece you have made or that you think is representative of what you will be making in the class.Max. file size: 256 MB.Example of finished product #2Please attach a photo of a piece you have made or that you think is representative of what you will be making in the class.Max. file size: 256 MB.Please note: 171 Cedar Arts Center performs background checks on all faculty and staff to ensure the safety of our students and our organization. If we move forward with hiring you, you will complete an authorization form for us to do the check.
