Instructor Interest Form for RCC Activity/Class

Do you have a specialized skill or talent? Have you taught or led groups? Are you interested in sharing your skills and knowledge with the Richland community by teaching classes or leading activities? Complete this form today to contact Richland Parks & Recreation staff who can work with you to join our Recreational Programming Team!

All class or program concepts are subject to review and approval by City.

Phone Number

Address Autocomplete

Address or Location

Subject or Title of Class/Program/Activity

Description activity to be used in advertisement

Description of your experience or training in this field. You may also attach your resume below outlining applicable experience.

Have you taught or led this activity before as a paid professional?

Yes, at the Richland Community Center

Yes, with another business or organization

Yes, but unpaid or while accumulating training hours

No, this would be my first time.

AVAILABILITY | SCHEDULING | MARKETING

Recreational offerings are published in a seasonal Activity Guide 3 times each year as noted below. For purposes of Activity Guide advertising, please indicate time period(s) which meet your preference/availability:

January | February | March | April of 2024

May | June | July | August of 2024

September | October | November | December of 2024

Do you or your business already possess Commercial General Liability, Professional Liability and/or any other insurance coverages?

Yes

Do you or your business already possess a current Richland Business License?

Yes

Preferred Days:

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

No Preference | Flexible

Preferred Time of Day

Mornings | 8am - Noon

Afternoons | Noon - 5pm

Evenings | 5 - 8pm

Preferred Start Date

ACTIVITY INFORMATION & LOGISTICS

Suggested MINIMUM # of participants per class session:

Suggested MAXIMUM # of participants per class session:

Suggested Age Category

Infant/Early Childhood | Age 0 - 24 months

Toddler/Preschool | 2 - 5 years

Youth | 5 - 12 years

Teen | 13 - 17 years

Adult | 18 - 64 years

Senior | 65+ years

May we provide your contact information to interested class participants?

May we provide your contact information to interested class participants?
	Yes	No
Telephone	Telephone/Yes	Telephone/No
Email Address	Email Address/Yes	Email Address/No

Estimated amount of time needed prior to class for set-up and afterward for clean-up:

Equipment needs:
	Yes	No	Not Sure
Electrical outlets	Electrical outlets/Yes	Electrical outlets/No	Electrical outlets/Not Sure
Tables	Tables/Yes	Tables/No	Tables/Not Sure
Chairs	Chairs/Yes	Chairs/No	Chairs/Not Sure
Audio/Visual	Audio/Visual/Yes	Audio/Visual/No	Audio/Visual/Not Sure

Please list any class/activity space preferences or requirements:

Will this class/program cost participants?

No - This would be free to all participants

Not sure - please provide more information below

Yes - please describe class fee structure below

Describe the anticipated class fee structure:

Upload File(s) - Resume, course description/concepts, etc

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