Program Proposal for theW Gallery and Arts Wayland

Please complete this information for a program at theW Gallery. It will be reviewed and you will be notified if we think it is a good fit for our activities. Thank you!

Name *
Name
Phone *
Phone
Please give us a link to your website or similar web page so we can review your work.
http://
Street, town, zipcode
Please tell us something about your teaching experience
This will be the title that is used for publicity.
This will be the information used for publicity
Please list 3 specific things that students will learn/gain from this activity.
Student level *
Check any that apply
Please give the fee each person will pay for the whole activity.
$
Date
Date
Date you wish to start your program. This is optional if you are not sure yet. You can give an estimated date and we will discuss.
Days of the week you prefer *
Please indicate the days you would like and we will work with you to plan around the existing activities.
Time of day preferred
We have general time frame slots which can be flexible. Optional: Pick time slots you like and we will work out the details with you. The earliest time is 9am, the latest is up to 9pm.
Please set your minimum participants to run the program.
Please set your maximum participants to run the program. We are limited in the back of the gallery workspace based on tables, chairs, easels. We recommend a maximum of 10 for a hands-on activity