Arts and Recreation Program Proposal Form

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Please fill out the form below if you'd like to be a program instructor at Bond Park Community Center (BPCC), Cary Arts Center (CAC), Cary Senior Center (CSC), Herbert C. Young Community Center (HYCC), Middle Creek Community Center (MCCC), Page-Walker Arts & History Center (PW), and/or The Hive

If you have questions, contact Julie Collins (BPCC & The Hive), Jewel Kichak (CAC), Stefanie Nichols (CSC), Patrick Duffy (HYCC), Maria DiBenedetto (MCCC), or Jennifer Hocken (PW).

Please correct the field(s) marked in red below:

Instructor Information

1
First Name
 *
2
Last Name
 *
3
Address
 *
Address
4
Telephone
Telephone
5
Email
 *
6
Education
Education
7
Certification(s)
Certification(s)
8

Experience

Please list any other pertinent experience or qualifications

For questions about this form, contact Julie Collins.