Form Center

2. First Name*
3. Last Name*
5. Email Address*
6. Phone Number*
8. Business or Organization
10. Bio*

    Provide a brief biographical sketch, which includes your education or experiences related to the proposed subject matter, prior teaching experiences and relevant awards, achievements or certifications, if any.

12. Class Title or Idea*
14. Description

    Write a specific 50-100 word description for a proposed class. This may be included on Parks and Recreation promotional, marketing, and informational material. Put yourself in the students’ shoes. What will students get out of the class? Why should they take this class?

16. Age Groups*

    What age groups for class?

    1. Pre-school (4 & under)
    2. Youth (5 – 12 years)
    3. Teen (13 – 18 years)
    4. Adults (19 – 55 years)
    5. Seniors (55 & older)
    6. All ages
17. Minimum Age*

    Minimum age for participants?

18. Maximum Age*

    Max age for participants?

20. Days of Week*

    What days of the week will your class meet?

21. Time*

    What time will your class meet? (i.e.: 10 - 11 am)

23. Frequency*

    What is the frequency of the class?

    1. Daily
    2. Weekly
    3. Monthly
24. Fee

    What is the fee for this class?

26. Motivation

    Why do you want to teach a class for the Bay City Parks and Recreation  Department?

28. Reference 1

    New Instructor? Please provide two references. Must include name, phone  number and e-mail. Note: references will be contacted.

30. Reference 2

    New Instructor? Please provide two references. Must include name, phone  number and e-mail. Note: references will be contacted.

    
    

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 Submit and Print

* indicates a required field