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4. Instructor First Name*
5. Instructor Last Name*
6. Business/Organization

   Optional

8. Address*
9. City*
10. State*
11. Zip Code*
13. Home Phone
14. Mobile Phone*
16. Email *
17. Website

    If applicable

19. Program Tile*
20. Session*

    When would you like to run this program?

    1. Spring/Summer
    2. Fall/Winter
21. Participant Age Range*
23. Program Description*

    Please provide a rough idea of what the program will cover.  What topics, skills, and/or information will be taught to participants?

25. Class Day(s)*

    What day of the week are you available to run this class?

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday
    5. Friday
    6. Saturday
26. Class Times*

    What time during the day are you available to run this program?

    1. Morning (8am-12pm)
    2. Afternoon (12pm-5pm)
    3. Evening (5pm-9pm)
28. Please list your qualifications that are important to run a program like the one you are proposing.*

    Years experience, certifications, degrees, etc.

30. Thank you for your interest in becoming an instructor with Garden City Parks and Recreation.

    Staff will be reaching out to you to set up a time to meet to discuss your proposal further.

Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field