Prospective Teachers must submit this form!

Postal Mail address to send your materials:
City Lights Artists' Co-Op
Attention Gallery Director
P.O. BoX 91314
Henderson, NV 89009

City Lights Gallery
Teacher's Prospective Class Form

(use additional sheet whenever necessary)

Name:
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Phone Number(s):
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Previous Teaching Experience
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Proposed Class Name
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Brief Description of Class Content
/
Supplies Required:
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Proposed Cost of Class for Members:
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For Non Members: (Gallery collects all Class Fees, takes 20% of total as its commission, then pays artist/teachers
at the end of the month; students must register with and pay the gallery
/
Proposed Date and Time for Class: (Check the Class Calendar to make sure the date and time are free.)
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Proposed Minimum Number of Students
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Proposed Maximum:
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Any Special Requirements
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Return completed Form to:

Eileen Fisher, Gallery Director
PO Box 91314
Henderson, NV 89009-1314