PEG Workshop Facilitator Application Form
To encourage art education in our community, the Pearl Ellis Gallery is seeking to expand its offering of art lectures, demonstrations and workshops. We have two spaces available - 1) The gallery itself, for lectures or demonstrations which do not require water. 2) The Lion's Den, downstairs from the gallery, for demonstrations which require water and for workshops.

Please fill out the following application form in full
Sign in to Google to save your progress. Learn more
Email *
Your name *
Address *
Your phone number(s) *
Which of the following are you proposing? *
Required
Proposed lecture/demo/workshop title *
Tell us a bit about you! If accepted, we'll use this information when writing the course description.  *
Briefly describe the lecture/demonstration/workshop you are proposing, noting topic, concept, project, medium, techniques, principles, etc. If accepted we'll use this to write the course description.  *
What level of participant is this suitable for? 
Clear selection
Membership is required for our instructors. If accepted, will you ensure that you hold a current Pearl Ellis Gallery membership at the time of your workshop, demo, or lecture? *
Number of days that constitute the proposed  lecture/demo/workshop? *
Duration of each session (hours)? *
What dates and times do you prefer? Please note, your request is not guaranteed. *
What materials will you be supplying? *
What materials are required by participants? *
What do you need from the space? Tables, chairs etc.
Is water required? *
What is your proposed minimum number of participants? *
What is the maximum number of participants? *
You will receive 70% of the total fees collected, Pearl Ellis Gallery will receive 30%. Pearl Ellis Gallery will pay the fee for booking the Lion's Den. You will provide any required materials which will not be supplied by the participants. Pearl Ellis Gallery may cancel the event if there are insufficient participants to cover costs. Do you agree to this?  *
What price are you proposing to be charged for your workshop/demo/lecture? Please note, PEG may raise or lower this fee after discussion with you.  *
Aside from help with advertising and booking will you require help with the lecture/demo/workshop? *
Please list your website, Facebook and/or Instagram sites so we can see examples of your work. 
If you have anything you want to add you can do so below. 
Thank you for your proposal!
Captionless Image
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Pearl Ellis Art Society.

Does this form look suspicious? Report