Become a Program Instructor

2. Thank you for your interest in partnering with Holly Springs Parks & Recreation to offer programming. Please provide the following information to help the Recreation Program staff evaluate the opportunity.

4. Instructor First Name*
5. Instructor Last Name*
7. Phone Number*
8. Email*
10. Type of Program*
    -- Select One --Visual Arts or CookingAthleticsDanceDramaFitness & WellnessMusicNature & OutdoorSeniorsSpecialized RecreationSpecial Interest/Other
11. Title of Program*
13. Proposed days & times for offering the program*
15. Target Market (ages/demographics) and Maximum Capacity*
17. Facility Requirements (Classroom, Dance Room, etc.)*
19. Who will be instructing the program (Yourself or another representative?)*
21. Proposed program fees (Price points for participants, anticipated cost recovery)*
23. Instructor payment/revenue expectations*
25. Describe the program goals and objectives*
27. Please list any certifications, licenses, and/or experience for offering this program*
29. If you have one, please upload your resume
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field