Black Mountain Education and Wellness Center Application FormIf you are a practitioner interested in providing a wellness service, please reach out to Annie directly at [email protected]INSTRUCTOR INFORMATIONName *Email Address *Phone *CLASS/WORKSHOP DETAILSTitle of Class/WorkshopProposed Day(s) and Time(s) of ClassStart DateEnd DateLength of ClassClass DescriptionCan participants join after the program starts? (Yes/No)Minimum Age of ParticipantsMinimum # of ParticipantsMaximum # of ParticipantsINSTRUCTOR BACKGROUNDBrief BioHave you taught this class before? (If yes, where and when?)References (2-3 former students, include names and email addresses).Optional: Upload fileChoose FileNo file chosenDelete uploaded fileIf you have any files to share, you can upload them here.Thank you for your interest in teaching at Black Mountain Education and Wellness Center! Submit ApplicationPlease do not fill in this field.
