Select your name from the drop down menu below.
Program *
Please select the program you worked for.
If you chose "Art Education Class", what was the name of the class?
Date of Service *
Date of Service
Location *
Where did you work?
If you chose "Other" above, please describe what you did.
If you taught a class, please only include the teaching hours. Prep, set up, and clean up are not included in this number.
If you taught a class, how many students were in the room?
Are there any concerns you have about the class?