Name * First Name Last Name Email Instruments * Programs, Classes or Workshops you have or want to teach i.e. choruses, theatre, guitar/uke groups: I am interested in teaching: Adults with Cognitive Disabilities Children with Cognitive Disabilities People with Physical Disabilities Senior Centers or Residences Library/Museum Programs After School Programs In-School Programs Head Start Artist in Residence Hospice Patients If yes to the above, describe your program: Additional Ideas you might have for Outreach Programs, Workshops, or Classes: What is your availability? Days, Times: Thank you!