Request
Contact information
Name
First name
Middle
Last name
Address
Address line
City
State
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
Phone number
Email address
Business license insurance
Do you have a Thornton business license?
Yes
No
Do you have a current liability insurance policy?
Yes
No
Proposed class infomation
Name of Class
Course Description
In 100 words or less, please give a synopsis of the class you are planning to teach. This will be used on promotional material.
Class goals and learning outcomes
Supplies participants need to purchase for class, if any
Additional information participants need when registering for class
Minimum participants required
Maximum participants allowed
Proposed class fee
$
Materials fee (if applicable)
$
Target age groups
Youth: 10 - 13
Teens: 14 - 17
Adults: 18 - 54
Seniors: 55+
Supplies / special equipment needed for class
Instructor experience
Have you taught this, or a similar class before? If so, please provide information on number of times you've taught the class along with dates and locations.
Relevant Education (include degrees, colleges attended, seminars and classes)
Licenses or Certifications (include First Aid / CPR)
Are you able to teach in any language(s) other than English?
What is your experience using social media to promote your classes
Additional Attachments
Please attach a minimum 3 - 5 of the below requested items.
Additional attachment record
Attachment
Category
Resume
Syllabus / Course Outline
Lesson Plan
Work Samples
Handouts
Desciption
Remove
Additional attachment record
Attachment
Category
Resume
Syllabus / Course Outline
Lesson Plan
Work Samples
Handouts
Desciption
Remove
Additional attachment record
Attachment
Category
Resume
Syllabus / Course Outline
Lesson Plan
Work Samples
Handouts
Desciption
Remove
Additional attachment record
Attachment
Category
Resume
Syllabus / Course Outline
Lesson Plan
Work Samples
Handouts
Desciption
Remove
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