Instructor Information Form

FIRST name LAST name
Address
Phone Number Email Address

Subjects/Courses You Teach
Course Name 1    |   Years of experience?  
Course Name 2    |   Years of experience?  
Course Name 3    |   Years of experience?  
Course Name 4    |   Years of experience?  

Usual Class Scheduling Usual Compensation
$   per   Hour     Student    
Time of Day Preferred    AM  Days  PM $   per   Workshop Day
Usual Workshop Length Instructor Food & Lodging Arrangements
2 Day   3 Day   5 Day   7 Day   Partial
Assistants Assistant Food & Lodging Arrangements
  Assistant(s)  per     

Items I provide   Items I require   Comments or Questions