Program Interest Form

Program Interest Form

Submissions received after August may not be considered for the Spring / Summer 2025 season (sessions 1 - 3).

Name

Email Address

Phone Number

Phone

Address

Experience

Please tell us about your experience in the area you are proposing to teach. Feel free to attach supporting information in the file upload below.

Proposed Program Title

Staff reserve the right to alter program titles and descriptions.

Proposed Program Description

Staff reserve the right to alter the description of the program for length, content, and consistency.

Participant Learning Outcomes

Please list 3 or more learning outcomes for your program. As participants walk away from this program, what should they have solid foundations in?

Would you like to teach this program as a paid contracted instructor or as a volunteer contracted instructor?*

Contracted instructors for adult programs are paid based on a 60/40 split. Instructors receive 60% of program fees for enrollment calculated at the resident (base) rate.

Instructors for youth programs are paid on a 80/20 split. Instructors receive 80% of program fees for enrollment calculated at the resident (base) rate.

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Program Fee

Program fees are determined by the department and are based on factors including but not limited to:

level of engagement
level of instruction
level of community vs. individual benefit

Contracted instructors for adult programs are paid based on a 60/40 split. Instructors receive 60% of program fees for enrollment calculated at the resident (base) rate.

Instructors for youth programs are paid on a 80/20 split. Instructors receive 80% of program fees for enrollment calculated at the resident (base) rate.

Keeping in mind that the department will determine program fees, please let us know how much you need/want to make per person to make this program worthwhile for you to teach.

Participant Age Range

select all that apply

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Participant Skill Level

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Supplies will be provided by:

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Supply Cost

Please provide an estimated supply cost per person, whether provided by students or instructor.

If supplies will be provided by instructor and included in the cost of the program or the supply fee will be payable to the instructor in class, please note below.

If supply costs will change based on program size, consider costs for 5 participants, 10 participants, 15 participants, and 20 participants.

Ideal Teaching Venue

select all that apply

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Ideal program capacity

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Enrollment Maximum

What is the highest number of people enrolled that you would feel comfortable running this program for?

Session Dates: 2025

Programming

2024-2025 Programming Session Dates

Session 6: January 6 - February 17

2025 Programming Session Dates

Session 1: March 3 - April 12

Session 2: May 1 - June 14

Session 3: July 7 - August 16

Session 4: September 2 - October 11

Session 5: October 21 - December 13

Program Style

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Recurring Program

2024-2025 Programming Session Dates

Session 6: January 6 - February 17

2025 Programming Session Dates

Session 1: March 3 - April 12

Session 2: May 1 - June 14

Session 3: July 7 - August 16

Session 4: September 2 - October 11

Session 5: October 21 - December 13

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Workshops, Lectures, & Demonstrations

Workshops: 1 - 3 days

Lectures and Demonstrations: 1 or more sessions recurring at regular or irregular schedules.

Workshops, Lectures, and Demonstrations can fall within or outside of session dates, noted above. The facility may be closed outside of session dates.

Scheduling will be based on Instructor and Facility availability.

Please let us know date/time frames that work best for you.

Private Lessons

2024 Private Lesson Session Dates

Session 1: March 4 - April 27

Session 2: April 29 - June 27

Session 3: July 8 - August 29

Session 4: September 3 - October 26

Session 5: October 28 - December 14 (*6-weeks)

2025 Programming Session Dates

Session 6: January 6 - March 1

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How long would the program last?

How long will each meeting last?

Time of day requested?

select all that apply

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What days of the week are you available to teach?

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What days of the week you are NOT able to teach?

select all that apply

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Are there specific DATES you are unavailable?

I understand that this interest form does not guarantee program consideration, contractual obligation, or partnership with the Town of Leland.

Background Check*

I understand that all contracted instructors will be subject to a background check.

I have read and consent to the Instructor Handbook

Instructor Handbook

File Upload - Experience & Program Materials

Upload supporting information for:

Experience (CV, resume, portfolio, etc.)
Program Materials (syllabi, photos of projects, presentations, etc.)

Drag and drop files here or

Send me a copy of my responses

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