Program Submission Form - Winter 2023 Please enter the information for your class in the form below, including attaching an image file for your class. Once submitted, a copy will be sent to the Studio Leader and Arts Director, and you will also receive a copy for your records, sent to the email you provided. Jansen Art Center 321 Front Street Lynden, WA 98624 [email protected]PROGRAM INFORMATIONStudio*Paint & Fine ArtsCeramicsTextilesMusic & TheatreJewelryOtherInstructor Name* Class Title* Class Description*Prerequisites No prerequisites Prerequisites needed List any prerequisites: Age Group*Kids (6-9)Kids (8-12)Youth (10-14)Teens (13-18)Teens and Adults (13+)Adults (16+)Adults (18+)Adults (21+)Class Fee Materials Fee*Yes - Paid to the InstructorYes - Paid to the JNo Materials FeeAmount of Materials Fee, if applicable Materials the students will need to bringClass ImagePlease provide an image for use on our website and for additional marketing to promote your class. Drop files here or Select files Max. file size: 128 MB. Class Start Date* MM slash DD slash YYYY Class End Date* MM slash DD slash YYYY Day of the Week Class Dates - List the dates of each class MM/DD Class Time Begins:* : Hours Minutes AM PM AM/PM Class Time Ends:* : Hours Minutes AM PM AM/PM Number of Sessions Ex: 4 week class, meeting once a week = 4 sessions Total Class Hours Cut Off Date for Minimum Registrations *Default is noon the day before class.Last Date for Additional Registrations *Default is noon the day before class.Minimum Class SizeMaximum Class SizeRoom RequestedCeramics StudioAlley WorkshopJewelry StudioTextiles - Front RoomTextiles - Back RoomEnsemble RoomPainting StudioLibrary WorkshopVirtualSpecial Requests & Additional NotesINSTRUCTOR INFORMATIONName First Last PronounsShe/HerHe/HimThey/ThemAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Website Email PhonePre-approved instructor compensation per hourInstructor imagePlease provide an image for your bio on our website. Drop files here or Select files Max. file size: 128 MB. Instructor/Artist bioNew instructors, or instructors wanting to update their information. Δ
