Teacher Invitation Response

Teacher 34

YES! I can teach at NCWHS this year at Session 3: September 1-4, 2023. This is my commitment.

NO, I will not be able to teach this year. Keep me in mind for the future.

This is how I would like my name to appear in the literature:

Name

My contact information (for NCWHS office use only)

Street Address

City

State

Zip Code

Phone/Mobile

My public contact information, which is ok to give out and include in the Proceedings of The Symposium Book:

Public Name

Business Name

Public Email

Website

Optional: Phone

________________________________________________________________________

Bringing Children

I will not be bringing children with me

I will be bringing children with me

Name

Age

________________________________________________________________________

Class Proposal #1

Class Title

Class Length

1 part class: 90 minutes

2 part class: 3 hours w/ 30 minute break

Intensive: 4 hours w/ 30 minute break

Class Level

Beginning

Beginning/Intermediate

Intermediate/Advanced

Advanced

All Levels

Class Description ~ Check one

I will include my class description here

Please use the class description that you have

Describe Your Class

Class Title #1

Optional: Year and session of class description to reuse (you can refer to your bio on the website)

I would like to review class levels

Yes

Beginning

Students have just begun and do not yet use many herbs on their own.
Students are not able to identify many common medicinal plants in their area.
Classes are paced slowly with plenty of time for any and all questions.

Intermediate

Students feel comfortable using several herbs themselves and do so when needed.
Students are able to identify some common medicinal plants in their area.
Students are becoming familiar with some plant actions and medical terminology.

Advanced

Students use herbs themselves and feel confident recommending herbs to others.
Students are familiar with most plants in their area.
Students understand plant actions and are comfortable using herbal and medical terminology as appropriate.
Students are familiar with many plant constituents.
Classes are paced quickly, if appropriate, and do not answer or address beginning and intermediate questions.

________________________________________________________________________

Add A Second Class

Yes

Class Proposal #2

Class Title

Class Length

1 part class: 90 minutes

2 part class: 3 hours w/ 30 minute break

Intensive: 4 hours w/ 30 minute break

Class Level

Beginning

Beginning/Intermediate

Intermediate/Advanced

Advanced

All Levels

Class Description 2 ~ Check one

I will include my class description here

Please use the class description that you have

Describe Your Class

Class Title #2

Optional: Year and session of class description to reuse (you can refer to your bio on the website)

________________________________________________________________________

Add A Third Class

Yes

Class Proposal #3

Class Title

Class Length

1 part class: 90 minutes

2 part class: 3 hours w/ 30 minute break

Intensive: 4 hours w/ 30 minute break

Class Level

Beginning

Beginning/Intermediate

Intermediate/Advanced

Advanced

All Levels

Class Description 3 ~ Check one

I will include my class description here

Please use the class description that you have

Describe Your Class

Class Title #3

Optional: Year and session of class description to reuse (you can refer to your bio on the website)

________________________________________________________________________

Add a Fourth Class

Yes

Class Proposal #4

Class Title

Class Length

1 part class: 90 minutes

2 part class: 3 hours w/ 30 minute break

Intensive: 4 hours w/ 30 minute break

Class Level

Beginning

Beginning/Intermediate

Intermediate/Advanced

Advanced

All Levels

Class Description 4 ~ Check one

I will include my class description here

Please use the class description that you have

Describe Your Class

Class Title #4

Optional: Year and session of class description to reuse (you can refer to your bio on the website)

________________________________________________________________________

Add A Fifth Class

Yes

Class Proposal #5

Class Title

Class Length

1 part class: 90 minutes

2 part class: 3 hours w/ 30 minute break

Intensive: 4 hours w/ 30 minute break

Class Level

Beginning

Beginning/Intermediate

Intermediate/Advanced

Advanced

All Levels

Class Description 5 ~ Check one

I will include my class description here

Please use the class description that you have

Describe Your Class

Class Title #5

Optional: Year and session of class description to reuse (you can refer to your bio on the website)

________________________________________________________________________

Add A Sixth Class

Yes

Class Proposal #6

Class Title

Class Length

1 part class: 90 minutes

2 part class: 3 hours w/ 30 minute break

Intensive: 4 hours w/ 30 minute break

Class Level

Beginning

Beginning/Intermediate

Intermediate/Advanced

Advanced

All Levels

Class Description 6 ~ Check one

I will include my class description here

Please use the class description that you have

Describe Your Class

Class Title #5

Optional: Year and session of class description to reuse (you can refer to your bio on the website)

________________________________________________________________________

Bio

Check One

I will include my bio here

Please use the bio that you have

Bio for the Proceedings (60 words or less)

Bio of any Length for the Website

Upload a photo of yourself in good resolution

Choose File

Optional: upload a second photo of yourself in good resolution

Choose File

Use My Existing Photo

Yes