ASA Vendor Screening Form

Name:*

Email:*

Professional References

Reference 1: Name*

Email*

Phone Number*

Business / Relationship*

Reference2: Name*

Email*

Phone Number*

Business / Relationship*

Reference 3: Name*

Email*

Phone Number*

Business / Relationship*

A brief proposal/outline*

Is this activity for students or for adults?*

Grade of the Students*

Number of Students per class

Min*

Max*

Day of the week (if known)*

Supplies required by

Are there supplies required by ISY for this activity? If so, please list them below*

Are there supplies required by Students for this activity? If so, please list them below*

Upload CV*

Max. file size: 12 MB.

How many years of experience do you have teaching or coaching this particular activity?*

Do you have any degrees or certifications that are relevant to this activity? If yes, please list them.

Cost Comparison: How much do you charge in your own studio or for classes outside of ISY?*