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: Program Director
203 Harrison
Peoria, IL 61602
Email address *
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) *
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Phone 2
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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
I am interested in teaching children and will be willing to pay for half the cost of a background check (approximately $25) *
Instructor Bio *
Your answer
Website
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Facebook Page (for your art)
Your answer
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