Instructor Application

Date*

Name*

First Last

Address*

Street Address Address Line 2 City 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?