Teaching Artist Workshop Submission
Fill this form correctly and ensue you give us your area of interest and sample what will be made in class
Name
*
First Name
Last Name
Business Name:
Address:
*
City:
*
State:
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip code:
*
Business Phone:
Mobile Phone:
*
E-mail:
*
Website or Social Media:
Class Title:
*
Length of Class (in hours):
*
Days/Times preferred (exp: Saturday afternoons or Thursday evenings):
*
Age Range:
*
Media:
*
Painting
Photography
Leather
Drawing
Glass
Wood
Calligraphy
Ceramics
Sculpture
Music
Writing/Poetry
Jewelry
Floral
Fabric
Weaving (fabric/other)
Metal works
Other
Other Media:
Short description about who you are and your background in art:
*
Class description and lesson plan:
*
Class Rate (rate you receive for teaching the class):
*
Class Supplies (If you are providing the class materials, please indicate what will each participant need to pay to cover that cost. If you are using CFAC's materials, please list what supplies you will need):
*
Example of Class Artwork #1:
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Example of Class Artwork #2:
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit
Clear Form
Should be Empty: