School Name/Program

Contact Person

ADDRESS SCHOOL/PROGRAM

EMAIL

PHONE

TEACHER TYPE NEEDED (CHECK ALL THAT APPLY) TEACHER TYPE NEEDED (CHECK ALL THAT APPLY) Art Dance Music Music & Movement (Kindermusik) Piano Professional Development ( Using The Arts To Develop Social Emotional Intelligence) or ( Effectively Using The Arts Through Out Your School Day ) Songwriting Studio & Music Voice Yoga (Mindfulness)

DAYS AND TIMES REQUESTED FOR TEACHERS TO COME TO YOUR FACILITY

LOCATION OF PROGRAM WHERE TEACHERS WILL BE NEEDED? (IF DIFFERENT FROM ADDRESS)