Program Submittal Form - Fall 2020 All Fall 2020 programs must be approved by Vin, before submission. Please enter the information for your class in the form below. Please complete the form to the best of your ability, including attaching an image file for your class. Jansen Art Center 321 Front Street Lynden, WA 98624 [email protected]PROGRAM INFORMATION1. Studio Selection* Ceramics Dance Jewelry Music Paint Textiles Other 2. Instructor name*3. Class name*4. Class description*5. PrerequisitesPrerequisites neededNo prerequisitesThird ChoiceList any prerequisitesAge Group*Adults (21+)Adults (16+)Adults & Teens (13+)Teens (13-18)Kids (Specify ages below)OtherKids or Other - Specify age range7. Class Fee, ($10-$15 per class hour is typical)8. Materials feeYes - Paid to the instructorYes - Paid to the JNo materials feeAmount of materials fee, if applicableMaterials the students will need to bring9. Class imageMust provide an image for use on our website and for additional marketing to promote your class. Do not list "On File" Drop files here or 10. Day of week11. Proposed class start date* Date Format: MM slash DD slash YYYY Proposed class end date* Date Format: MM slash DD slash YYYY Class dates, (please list the dates of each class)12. Class time begins:* : HH MM AM PM Class time ends:* : HH MM AM PM 13. Total class hours14. Number of sessions / Ongoing classEx: 4 week class, meeting once a week = 4 sessions, OR, list if the program is an ongoing class.15. Cut off date for minimum registrations**Default is noon the day before class.Last date for additional registrations16. Minimum class sizeMaximum class size17. Room requested18. Special requestsMarketingVolunteersSponsorshipSpecial request notesINSTRUCTOR INFORMATIONName First Last Pre-approved instructor compensation per hourAddress 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 FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneEmail Instructor/Artist bioNew instructors, or instructors wanting to update their information. Instructor imagePlease provide an image for your bio on our website. Drop files here or Website
