2021 MADE Classroom - Instructor Application
Artisan Alley is looking for Instructors to participate in teaching our Community Craft Classes, Art Happy Hour, and more! Our instructors currently make $15/hour, and our classes are normally 2 hours long. If you're interested but have more questions, please email
Your Phone #
What is your medium/ what you would be teaching in this class? What mediums can you teach?
What times of the day do you want to teach?
Which days do you prefer to teach?
# of Students
Do you have a minimum / maximum # of students that you can teach?
What age ranges are you comfortable teaching?
Please list your educational experiences including classes you may have taught at Artisan Alley
Please tell us a bit about yourself.
How long have you been teaching?
Do you consent to a background check?
Which location would you prefer to teach at?
2nd St- Gallery/Flex Space
W. 11th- Industrial Class
West Kirkwood- Conference Room
Is there any other information we should know about you, your preferences, or your class?
Disability Support Services: Artisan Alley provides accommodations for individuals with documented disabilities in accordance with Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990. Campers who have or think they may have a disability (e.g. psychiatric, attention, learning, vision, hearing, physical, or systemic), can contact Disability Services for assistance. All information is confidential. Phone (812) 330-6046 for an appointment.
Refund Policy If you need to cancel your registration, please notify us by phone or email. Full refund of tuition will be given if notification is received 7 days or more prior to camp session. No refunds or credits (except for documented medical emergencies) will be issued after this time.
Permission for Treatment The health history provided on this form is correct to the best of my knowledge. By my signature below, I hereby grant permission and authorize the provision of emergency medical treatment for minors/students who become ill or injured while participating in an Artisan Alley program. Should an emergency arise while my child is under the supervision of the staff of Artisan Alley, I (we), do hereby authorize the staff to obtain and/or provide medical attention for my child. I (we), do hereby give consent to any necessary examination, anesthetic, medical diagnosis, surgery or treatment, and/or hospital care to be rendered to the above named minor under the general or special supervision and on the advice of any physician or surgeon licensed to practice medicine during the program period. I (we), do hereby give consent to the administration of an emergency prescription medication prescribed to the above named minor/student for which I (we) have provided written instruction. I (we) do hereby release and forever discharge Artisan Alley and its partner instructors and organizations, employees, volunteers, agents, officers, trustees, affiliates, and representatives from any and all liability of any kind for any claim, demand, action, cause of action, expense, judgment or cost, including without limitation, attorney’s fees, which arise out of or relate in any manner to the exercise of authority or judgment pursuant hereto, or to the securing, oversight, administration or supervision of medical or other care or treatment on behalf of my child at any time or any travel incident thereto.
Release of Information By my signature below, I authorize Artisan Alley to release medical information regarding the above named minor/student to any person or entity to whom Artisan Alley refers the minor/student for medical treatment.
Waiver Statement (Must be agreed to by signing at bottom of this page to participate) In consideration of permission to use the property, facilities and services of Artisan Alley, such use including, but not limited to, use of Artisan Alley’s facilities or equipment, participation in Artisan Alley programs or activities, and observation of any of the foregoing, I do hereby agree:
1. Release and Waiver of Liability ~ For myself and my heirs, assigns, personal representatives, executors and administrators, to waive, release, and forever discharge Artisan Alley and its respective directors, officers, employees, representatives and members (the “Releasees”) from liability for any loss or damage and from any rights, claims or demands therefore which I have or which may hereafter accrue to me arising out of injury to my person or my property incurred in connection with my use of the property, facilities or services of Artisan Alley, whether such damages are caused by the negligence of the Releasees.
By selecting "yes" below, I accept the terms and conditions stated above, and understand that I am representing all the above stated participants in this form and it is my sole responsibility to relay this information to them.
Never submit passwords through Google Forms.
This form was created inside of Artisan Alley LTD.