Teacher Registration If you are human, leave this field blank. First Name Last Name Email Phone Address Address Address Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Emergency Contact Name Emergency Contact Phone Number Have you ever been accused or convicted of a crime? Yes No Many homeschool parents like to sit in on classes. Is this okay for your class? If not, please explain? If you have already provided this info in a previous submission, you can leave this blank What would you consider a disruptive child, and how would you handle such a disruption? If you have already provided this info in a previous submission, you can leave this blank Please give a small bio, in paragraph form, to include on our Instructor page. A suggestion would be to include your qualifications and/or experience. If you have already provided this info in a previous submission, you can leave this blank Additional Info, Comments, Questions... If you have already provided this info in a previous submission, you can leave this blank Course Course Name? Course Description Course Cost Age range. Which of the following best suits your age ranges? (Please choose as many that are fitting for your course). This is required, as it helps us sort the classes 1-3 3-5 6-8 9-11 12-18 Adult Minimum Number Of Students 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Maximum Number Of Students 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Parent Participation Required? Yes No This is not to be confused with parent assistance. If you will need an assistant, we suggest contacting the parents of the students on your roster to ask for assistance. Will your class have a special performance at the end of the semester? Yes No Wll your class have a display of student work or demonstration needing a table? Yes No Submit
