Klamath Art Gallery Class Instructor Application Form
Title of Class: _________________________________________ Tuition: _________
Class description/what will be learned: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________
Dates and Times Requested: ____________________________________________________________________________________________________________
(Note: Classes are to be held during gallery off hours, Thursday – Sunday before 11:45 AM or after 4:15 PM. The gallery is also available for classes all day Mondays, Tuesdays, and Wednesdays, except the last week of the month. All class dates and times are upon approval of the Education Committee. )
Materials/tools provided by instructor: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Student Provided Materials:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Attach List if necessary.
Where Materials Can Be Purchased:__________________________________________________________________________
Minimum Number of Students: _________ Maximum Number of Students: ________
Teacher’s Name: _________________________________________________ Today’s Date: ___________
Address: ____________________________________________________
City: __________________________ State/Zip: ___________
Preferred Phone #: ______________________________ E-mail: _______________________
Artist Bio: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Publicity handled by the gallery will include information on the website, the gallery
Facebook page, and in the newsletter (when time permits) and an article submitted to
the newspaper. Please try to get your request to us at least 6 weeks in advance. Please
include a short biography about yourself as an artist and your teaching experiences. Checks
for tuition are to be made out and paid to the instructor. The instructor will pay a 10% of total
income fee to the gallery for use of the facilities on or before the day of the class. A $10.00
deposit will also be required if a key to the gallery is needed.
Complete your application online or mail it to: Klamath Art Gallery, P.O. Box 955,
Klamath Falls, OR 97601. As soon as it is received, you will be contacted by our
Education Director.
If you have questions, you may contact us at our e-mail
address: klamathartassoc@aol.com or
Phone: 541-331-3891 (Dona Nelson, Education Director)