Instructor Interest Form First Name* Last Name* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Education/Degree (Click all that apply)* Self taught BA MA BFA MFA Teacher Certification Art classes you are able to teach (Click all that apply)* Dance Theatre Ceramics/Pottery Painting Photography Drawing Digital/Tech Arts Other If a class was not included above, please share any additional class types you can teach.Preferred length of program to teach (Click all that apply)* Multiple week courses (one session per week for 2+ weeks) Camps (1+ week(s) of daily arts programming) One day workshops Outreach (on or off-site programs for populations in need) Preferred ages to teach (Click all that apply)* Seniors (62+) Adults (27 - 61) Young Adults (18 - 26) Teens (13 - 17) Children (7 - 12) Young Children (3 - 6) Please select the populations you have had experience teaching (Click all that apply) ALAANA (African, Latinx, Asian, Arab, and Native American) LGBTQ+ (Lesbian, Gay, Bi-sexual, Transgender, Queer, etc.) Individuals with Mental and Physical challenges Military Veterans Individuals of limited income Incarcerated individuals Homeless populations If a population was not included above, please share any additional groups of people you have worked with.Please explain what the arts mean to you and why you would like to teach at the Academy.What year was your last background check completed? Please enter N/A if you have never had a background check done.*