FPHRC Class Application
First and Last Name
Cell Phone #
If a student teacher, who is your adult sponsor? (**Adult sponsors must also submit a teacher application)
Have you Submitted Your Teacher Application Yet?
Term Applying For:
Year Long Class
Class Title - Market Yourself! Make it sound fun, when appropriate!
If you have any assistants already lined up, please list their name, phone number and email. (**All Teachers and Assistants Must Complete a Teacher Application)
How would you prefer your class be categorized?
Materials required for students to bring to class:
How much homework do you anticipate students will have each week?
Prerequisites, if any:
Class materials fee, if any:
Minimum Class Size
Maximum Class Size
Which day(s) are you available to teach your class?
What is your preferred day of the week? Please list the times you'd like your class offered and whether you are flexible. Classes will run from 12-5 pm Mon.-Thurs with a few exceptions.
How often will you hold class?
once a week
twice a week
Length of Class
Special Requests: (i.e., do you require access to a sink, video or other technology, projection, need a quiet room, etc.)
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