![]() |
![]() |
![]() |
||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
![]() |
|||||||||||
![]() |
||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Name:________________________________________________________________________________
Address: _______________________________________________________________________________
City:_______________________ State/Prov: ________________ Zip: __________Country: ___________
Phone: ________________________________ email: _________________________________________
Number of years you have been teaching organized classes* ___________________________________
* conventions, conferences, workshops etc, planned by an organized group
List by preference, techniques you teach (up to five).
1st _______________________________________
2nd _______________________________________
3rd _______________________________________
4th _______________________________________
5th _______________________________________
List any slide, lecture or other presentations that may be of interest to an event planning committee
1st _______________________________________
2nd _______________________________________
3rd _______________________________________
4th _______________________________________
5th _______________________________________
Circle all that apply to the following statements
|
1. |
I would like to be included in the teacher IOLI Education Committee database |
Yes |
No |
||||||||
|
2. |
I am interested in teaching at IOLI conventions only |
Yes |
No |
||||||||
|
3. |
I am interested in teaching weekend workshops in other areas of the country |
Yes |
No |
||||||||
|
4. |
I will accept students of mixed skill levels in a one class |
Yes |
No |
||||||||
|
5. |
I prefer to teach the following skill levels. Indicate preferences with # 1 first choice, 2 2nd choice, 3 3rd choice |
Adv |
Int |
Beg |
|||||||
|
6. |
Number of hours preferred for teaching at IOLI conventions |
24 |
18 |
12 |
6 |
||||||
|
7. |
Maximum number of students that I will accept in a class |
12 |
10 |
8 |
Other = |
||||||
I am a member of the following lace related organizations:
_______________________________ ______________________________
_______________________________ _______________________________
_______________________________ _______________________________
Other comments: