Teacher Application

Teacher's Name:
Address:
Telephone: (day)		Evening:
	(please circle the number we can give to students with your permission)
E-Mail:
	May we give your e-mail to students	yes	no

Course Information

Course Title:
Course Level:	Beginner	Intermediate	Advanced	Not Applicable
Course Description	Please describe your proposed class including goals, possible projects, etc, as it will appear in the course catalog and news releases. GMAEP reserves the right to edit.












Classroom Needs	Please list any equipment or classroom requirements you might need for your class - e.g. computers, audio or visual equipment, worktables, etc.




Teacher Biography/Experience in subject::

Proposed Class Schedule:

Mon Tues Wed Thurs Fri Sat Sun

Hours of class: from _______ pm to _______ pm

Meet for (#) ___________ weeks

Minimum class size __________ Maximum class size __________

Class fee: ______________________

Materials: (check if either is applicable)

Instructor provides materials; amount to be collected with class and registration fees: __________________

Students purchase own materials – approx. cost: ____________ (Materials list sent to students before start of class)

Is there any advance reading/reference material or such that students should read before attending first class?


If so, where can they obtain it? What is the cost?

Please return form to:

Sharon Lefebvre, Director of Recruitment, 140 Graham Road, Chester VT 05143 or