STUDIO 395 CONTRACT PROPOSAL APPLICATION

Contract Class Proposal Application

Village on Grand/Lakeland Village Community Center
Instructor Information:
Name
Cell Phone Number
Email
example@example.com
Alt. Phone
Address

Address

Street Address Line 2

CityState

Zip
Above address will be used for payment set up.
Business Status:
Sole Proprietor

CA CorporationPartnership/LLC
Company Name
Company Phone Number
Website
Tax ID No.
Email
example@example.com
Business License
Social Media Link
Years in Business
Relevant Experience/Certifications
References:
Professional Reference 1:
Phone
Professional Reference 2:
Phone
Customer Reference
Phone
Program Focus (Check all that apply):

Fostering Human Development - Dance, Art, Preschool, Drama, Cultural, Continued Learning, Skill Building, Nature Appreciation, etc.Connecting People to Others - Social, Neighbors Helping Neighbors, Friendships, etc.Strengthening Families - Participating Together, Appreciation, Parenting Skills, etc.Increasing Safety - Safe Habits, Prevention, Life Saving Skills, Crime Reduction, etc.Improving Health & Wellness - Fitness, Healthy Habits, Aerobics, Strengthening, Endurance, Stretching, etc.Other
Course Activity/Name
Have you taught this course before?
Course Goals and Benefits to Participants?
Course Description (for marketing purposes):
Proposed Activity Day
Proposed Activity Time
Session Timeframe (from-to)
Age Range
Class Minimum
Class Maximum
Class Fee
Material Fee (if any)
Supplies Included in Material Fee
Equipment Required
Facility/Space Desired
Additional Notes/Information
You will be contacted via email regarding disposition of this proposal.
Should be Empty:

Contract Class Proposal Application

Instructor Information:

Business Status:

References: