Open Mind Program Proposal

Thank you for your interest in conducting a course, class or event at The Open Mind Center. Please use our Program Proposal Form to submit a proposal via one of the following methods:

E-MAIL


MAIL

Attach any books, CDs, brochures, press kit, reviews or other materials you feel are relevant.

Program Proposal Form

Your Information

First Name
Last Name
Address
City
State
E-mail
Confirm Email
Phone (daytime)
Phone (evening)

Program Information

Title of Proposed Event

Brief description of the course/class that you would like to teach

Best Format

Ongoing Program
Day Class/Presentation
Evening Class/Presentation
Weekend, Day or Mini-Workshop

Are there any specific groups this course/class is particularly geared towards?

Provide a list of other teaching experiences (include location and subject area)

Other relevant qualifications

Equipment needed

Attachment: