Instructors Application

Klamath Art Gallery Class  Instructor Application Form

Title of Class: _________________________________________               Tuition: _________

Class description/what will be learned: _____________________________________________________________________________



_____________________________________________________________(Continue on back)

Dates and Times Requested:  ____________________________________________________

(Note:    Classes are to be held during gallery off hours, Monday – Saturday  before 11:45 AM or after 4:15 PM.
During the last week of every month, the gallery is sometimes available on Monday, Tuesday between exhibits as long as the showing artist for the next month is not setting up a new exhibit.  All class dates and times are upon approval of the Education Committee.

Materials/tools provided by instructor:____________________________________________

Student Provided Materials:_____________________________________________________
Attach list if necessary      

Where Materials Can Be Purchased:______________________________________________

Minimum Number of Students:  _________     Maximum Number of Students:   ________

Teacher’s Name: ____________________________________   Today’s Date: ___________

Address: ____________________________ City: _______________ State/Zip: ___________

Preferred Phone #: ______________________________ E-mail: _______________________

All publicity will be handled by the gallery.  Please try to get your request to us at least 6 weeks in advance.
Please include a short biography about yourself as an artist and your teaching experiences
All checks for tuition are to be made out to the instructor, and held by the gallery until the time of the class. 
The instructor will pay a $35.00 per day fee to the gallery for use of the facilities on or before the day of the class.
A $10.00 deposit will also be required if a key to the gallery is needed.

If you have questions you may contact us at our e-mail address:
Mail your application to: Klamath Art Gallery, P.O. Box 955, Klamath Falls, OR 97601.
DO NOT drop the off at the gallery!!!!                                                                                                         Rev. date: 4/29/2014

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