JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Art Instructor Application
Please complete this form and submit.
This form can be submitted by choosing "Review and Submit" below or printed and sent to
Peoria Art Guild,
attn: Education Coordinator
203 Harrison
Peoria, IL 61602
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Address 1
*
Your answer
Address 2
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone 1 (Cell)
*
Your answer
Phone 2
Your answer
Email address
*
Your answer
Teaching Experience
*
Your answer
Reference 1 - Please list someone knowledgeable about your work or teaching experience. Include name and phone #.
*
Your answer
Reference 2 - Please list someone knowledgeable about your work or teaching experience. Include name and phone #.
*
Your answer
Have you ever been convicted of a crime?
*
Yes
No
Have you ever been convicted of a sex-related or child-abuse related offense?
*
Yes
No
I am interested in teaching children and will be willing to pay for half the cost of a background check (approximately $25)
*
Yes
No
Instructor Bio
*
Your answer
Website
Your answer
Facebook Page or Instagram (for your art) or attach images of work samples
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Peoria Art Guild.
Report Abuse
Forms
