Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you have experience teaching workshops? *

Yes

No

What kinds of workshops have you led?

In person

Online

What days are best for you to lead a workshop (check all that apply) *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Wha times of day are best for you to lead a workshop (check all that apply) *

Morning (9am-12pm)

Afternoon (1pm-4pm)

Evening (5pm-8pm)

What age group would you like to teach (check all that apply) *

Children (6-12)

Youth (13-18)

Adults (19+)

What level of experience would participants need to join your workshop? *

Beginner

Intermediate

Advanced

Have you led a workshop during the COVID-19 Pandemic? *

Yes

No

Have you been fully vaccinated for COVID-19? *

Yes

No

Have you visited NUMU? *

Yes

No

Have you ever taught at NUMU before? *

Yes

No