January 2009 - Northwest Basket Weavers

Teacher Application: Baskets and Gourds, Containers of Our CultureName________________________________________________________________________Address ______________________________________________________________________City _____________________________ State ________________ Zip_________________Phone ____________________________ E-mail Address ____________________________Name of Class ___________________________ Medium _____________________________Day or days preferred: Saturday _____ Sunday ____ (6 hour classes only)Class Level: All Levels ____ Beginner ____ Intermediate ____ Advanced ____Can student expect to finish this project within class time? Yes ___ No ___Number of students you will take: Minimum __________ Maximum _____________I am interested in participating in Teachers’ Market Place.I am interested in vendor information. Yes__ No __Yes__ No __Approx. Dimensions of Project: Length _________________ Width _________________Diameter _______________ Height _________________Description (include special skills taught or emphasized, or techniques demonstrated). Pleaseuse 40 words or less. You may use back of this sheet or attach another page if you wish.Total Materials and Preparation Fee per student: $________________Material or supplies required ofstudent:_____________________________________________(If possible, please bring cleaned, pre-cut gourds.)Table sizes are 6 x 2 ½ and 8 x 4. Approximate number of students per: 6’ table ___ 8’ table __Additional requirements: (You will be assigned an aide to help with administrative tasks.)Teaching Assistant ____ Water ____ Electricity ____Other:__________________________________________________________________Please include with your application:• Teacher’s Biography (50 words or less)• A quality photograph (not a drawing) and a high resolution image on a CD (369 spi orhigher, no compression. JPG, Tiff, or EPS format) of your teaching project.Proposal must be received by March 31, 2009. Class decisions will be mailed by May 1, 2009.I give my permission to use my class project photos to promote this event in print and on theInternet.Signed __________________________________ Date _________________________Northwest Basket Weavers/Vi Phillips Basketry Guild