Instructor Class Proposal Form

* First Name

* Last Name

* Street Address

Street Address (cont.)

* City

* State / Province

* Zip / Postal Code

Work Phone

* Home Phone

* E-mail

What do you want to call the class?

What is the age range of this class? (i.e. 3-5, 6-12, 18 )

What is the minimum number of students you will accept? The minimum enrollment may be changed to allow for expense recovery by Garland.

What is the maxium number of students you will accept?

What location would you like to work at?

Audubon Recreation Center

Bradfield Recreation Center

Fields Recreation Center

Granger Recreation Center

Holford Recreation Center

Hollabaugh Recreation Center

Senior Activity Center

What time of day would you like to offer the class?

How many consecutive weeks would you like to have a session of the class?

Name of sub-instructor if you must miss a class.

How much would you like to charge per student for this class?

Are there any skills or classes a student must have prior to taking this course?

What are students expected to wear / bring? Will they need to purchase extra supplies from you in addition to the class fee?

Please submit a short biography detailing your prior experience in this field:

List TOP 3 - 5 specific things students learn in this class, followed by the benefit of learning these things.

Based on the Content and Benefits listed above, how would you like your activity description to read? (approximately 60 words)