Teacher Invitation Response Form Session 1: May 16-19, 2025 Teacher Response Form Session 1, 2025 Full Name YES! I can teach at NCWHS this year at Session 1: May 16-19, 2025. This is my commitment. NO, I will not be able to teach at this session. Keep me in mind for the future. This is how I would like my name to appear in the literature: My contact information (for NCWHS office use only)Mailing AddressCityStateZip CodeEmailPhone/Mobile My public contact information, which is ok to give out and include in the Proceedings of The Symposium Book:Public NameBusiness NamePublic EmailWebsiteOptional: Phone___________________________________________________________________________________________________________ I am bringing one or more: Infants, ages 0-2 Children, ages 3-11 Young Women, ages 12-21 yes noNameNameNameAgeAgeAge______________________________________________________________________________________________________________I would like to review class levels YesBeginning 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 Students do not know many plant actions Students do not know many herbal, medical, or technical terms 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 Students are becoming familiar with some herbal, medical, and technical 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, medical, and technical terminology Students are familiar with many plant constituents Classes are paced quickly, if appropriate, and do not answer or address beginning and intermediate questions All Levels Student's skills are at any and all levels: beginning, intermediate, advanced All levels of knowledge will be addressed in this class Beginning, intermediate and advanced students will find the same level of satisfaction of learning and enjoyment in this class This is not the level of student who is welcome to attend, this is the level of the class focus All Levels means that the class will cover beginning, intermediate, and advanced information equally, or that the class is self paced as in a craft, movement or music class, and that students of all levels will feel equal satisfaction in the class Class Proposal #1Class TitleClass Length 1 part class: 90 minutes 2 part class: 3 hours w/ 30 minute break Intensive: 4 hours w/ 30 minute breakClass Level Beginning Beginning/Intermediate Intermediate/Advanced Advanced All Levels ~ This class will equally meet the needs of the beginning, intermediate and advanced students By checking "All Levels" I understand that this is not a statement of who is welcome to attend my class, it is a statement of the focus level of my class. By checking All Levels I am stating that I will equally cover beginning, intermediate, and advanced information, or that the class is self paced as in a craft, movement or music class, and that students of all levels will feel equal satisfaction in this class.Class Description ~ Check one I will include my class description here Please use the class description that you haveClass Description (150 words or less)Previous Class Title #1______________________________________________________________________________________________________________Add A Second Class Yes NoClass Proposal #2Class TitleClass Length 1 part class: 90 minutes 2 part class: 3 hours w/ 30 minute break Intensive: 4 hours w/ 30 minute breakClass Level Beginning Beginning/Intermediate Intermediate/Advanced Advanced All Levels ~ This class will equally meet the needs of the beginning, intermediate and advanced students Class Description 2 ~ Check one I will include my class description here Please use the class description that you haveClass Description (150 words or less)Previous Class Title #2______________________________________________________________________________________________________________Add A Third Class Yes NoClass Proposal #3Class TitleClass Length 1 part class: 90 minutes 2 part class: 3 hours w/ 30 minute break Intensive: 4 hours w/ 30 minute breakClass Level Beginning Beginning/Intermediate Intermediate/Advanced Advanced All Levels ~ This class will equally meet the needs of the beginning, intermediate and advanced students Class Description 3 ~ Check one I will include my class description here Please use the class description that you haveClass Description (150 words or less)Previous Class Title #3______________________________________________________________________________________________________________Add a Fourth Class Yes NoClass Proposal #4Class TitleClass Length 1 part class: 90 minutes 2 part class: 3 hours w/ 30 minute break Intensive: 4 hours w/ 30 minute breakClass Level Beginning Beginning/Intermediate Intermediate/Advanced Advanced All Levels ~ This class will equally meet the needs of the beginning, intermediate and advanced students Class Description 4 ~ Check one I will include my class description here Please use the class description that you haveClass Description (150 words or less)Previous Class Title #4______________________________________________________________________________________________________________Add A Fifth Class Yes NoClass Proposal #5Class TitleClass Length 1 part class: 90 minutes 2 part class: 3 hours w/ 30 minute break Intensive: 4 hours w/ 30 minute breakClass Level Beginning Beginning/Intermediate Intermediate/Advanced Advanced All Levels ~ This class will equally meet the needs of the beginning, intermediate and advanced students Class Description 5 ~ Check one I will include my class description here Please use the class description that you haveClass Description (150 words or less)Previous Class Title #5______________________________________________________________________________________________________________Add A Sixth Class Yes NoClass Proposal #6Class TitleClass Length 1 part class: 90 minutes 2 part class: 3 hours w/ 30 minute break Intensive: 4 hours w/ 30 minute breakClass Level Beginning Beginning/Intermediate Intermediate/Advanced Advanced All Levels ~ This class will equally meet the needs of the beginning, intermediate and advanced student Class Description 6 ~ Check one I will include my class description here Please use the class description that you haveClass Description (150 words or less)Previous Class Title #6______________________________________________________________________________________________________________Bios I will include my bios here Please use the bio that you have Bio for the Proceedings of The Conference Book (60 words or less)Bio of any length for the Website______________________________________________________________________________________________________________Photo Use My Existing Photo/s I will upload photo/s hereUpload a photo of yourself in good resolutionChoose File Optional: upload a second photo of yourself in good resolutionChoose File ______________________________________________________________________________________________________________Social MediaYou have my permission to use photos of me and my classes at the Women's Herbal Symposium for Social Media. Yes NoSocial Media HandleSubmit Form