CREATIVE PAINTING CONVENTION TEACHER APPLICATION
Phone: (702) 221-8234 Hours: 11 a.m. - 6 p.m., PACIFIC time. E-mail: vegaspaint@aol.com

Submission for year 20____. Deadline is MARCH 10 for the following year.
Submissions must be RECEIVED, not just mailed, by the due date.
CLIP (do not staple tape or glue) COLOR PHOTO with this application

Name: ________________________________ Address: ______________________________

City:___________________________ State: ____________ Zip: _______________________

Phone: ___________________________ SOCIAL SECURITY # _______________________

Email Address: _______________________________________________________________

Do you have a preference for teaching times? morning ___ afternoon ___ evening ___

Based on demand, how many times will you teach this class? (circle one) 2 3 4

Terms & Conditions / Certification of Originality:
Teacher warrants that the design is an original design, unpublished, not previously taught at another convention,
and does not infringe on the copyright of another. Teacher agrees to hold harmless the Creative Painting Convention
for any claims and/or suits arising from said design being taught. Teacher further agrees to assume responsibility for
defense costs arising from any such action. Teacher agrees to teach the design submitted at the time and classroom
assigned at the Creative Painting convention. Lodging and transportation are the teacher's own responsibility.
Teachers will be paid $3.50 per hour per student, based upon actual paid attendance, limit is 36 students per class,
unless otherwise agreed. Project must be, and remain, unpublished until after being taught at the convention.

I have read and understand all convention policies, procedures, and rules, and agree to same.

Signed, _____________________________________ date: _________________

Class Title: __________________________________________________________________

Surface (wood sled, canvas, etc.) ______________________ Surface Size: ________________

Supply cost to student $______ (round up to nearest dollar; Price must be adhered to.)

Supplies furnished by teacher (other than paint): ______________________________________

Brushes: (list generically ALL brushes to be brought by student): _________________________

Class Length: 2 Hours ____ 3 Hours ____ 4 Hours ____ 6 Hours ____ 8 hours ____

Medium: ____________________________ Brand: ___________________________________
(For medium, select from: Acrylic, Fabric Paint, Watercolor, Oils, Theory, or "Other" _________

Skill Level:
_____ Beginner (slow pace with much teacher assistance)
_____ Intermediate (average pace with some teacher assistance)
_____ Advanced (fast pace with little teacher assistance)

MAILING INSTRUCTIONS: Make a copy of this application for each item submitted, and CLIP
(do not staple, tape, or glue) the color photo of your design to the application. Send submissions to Creative Painting, 2875 Santa Margarita St., Las Vegas, NV 89146.

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