Workshop Facilitator Application Form
Submit your proposal to facilitate a workshop, class, or event at our space. Please provide details about yourself and your proposed program.
Applicant/Facilitator Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Course or Program Name
*
Course or Program Description
*
Type of Program
*
Please Select
Workshop
Class
Meetup
Club
Event
Other
Preferred Start Date
*
-
Month
-
Day
Year
Date
Preferred End Date
*
-
Month
-
Day
Year
Date
Preferred Days
*
Please Select
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred Times
*
Please Select
Morning
Afternoon
Evening
Alternative Start Date
-
Month
-
Day
Year
Date
Alternative End Date
-
Month
-
Day
Year
Date
Alternative Days
Please Select
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Alternative Times
Please Select
Morning
Afternoon
Evening
Audience: check all who apply
*
Children-Pre-School
Children-Elementary
Children-Middle School
Teens
Adults
Seniors
Families
Other
Maximum Number of Participants
*
Minimum Number of Participants
*
Will there be a materials fee? If so, please specify the amount per participant.
Prerequisites (if any)
Do you need to use any of our equipment or materials? Please specify.
Do you have any special requests?
Do you require support staff during your program?
Yes
No
Submit Application
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