Instructor Application Instructor Application Date* MM slash DD slash YYYY Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Please list pertinent training/education (high school graduate, college degree, post college degree, apprenticeship, other)Instructor Pay (Please indicate the pay range you require.)* Please list the kinds of classes / workshops / art camps are you qualified to teach*Please describe your teaching experience (ages, media, etc.)*Please list the tools / materials / equipment / space you need to teach the proposed class(es)*Please list any specialized tools / equipment you are willing to share during the class*Why do you want to teach at the Octagon? How do you see your offering as a fit or compliment to the Octagon's current roster of classes?*Have you taken a class at the Octagon? Please list. Have you been involved in the Octagon in any other way?*Aside from the class(es) you are proposing, what kinds of classes would you like to see at the Octagon? Δ