Are you Already an Experienced Teacher, or . . .

. . . a performer/artist who'd like to gain experience of working with kids and adults in community settings? Chrysalis, the community wing of Mystic Family Circus, is setting up a new database of Bay-Area performers and artists who are interested in working with us for future community projects and events.

Please fill in the attached e-questionnaire about your skills and experience. You will then be invited to upcoming teacher training sessions and we'll let you know of work opportunities as they arise.

Thanks for your interest!

Chrysalis Teacher Database Form

1. CONTACT DETAILS Please tell us how you can be reached:
Name
Address
Email
Phone
   
2. ARTFORM SKILLS Please tick the relevent box and give details of artform that you can teach:
Music Give details of instrument/genre...
Circus List skills...
Theater List skills...
Visual Arts List skills (eg. face-painting, set-making, costuming etc.) ...
Others Please specify (eg. instrument-making, eco-gardening etc.) ...
 
3. AGE GROUP AND EXPERIENCE 
Workshop Experience Please tick the relevent box and indicate your level of workshop experience with this age group (1 = you've led projects; 2 = you've played a supporting role; 3 = you've had a little experience. In many projects we like to have a 3-teacher team that includes all levels of experience...)
Pre-school 1 2 3 
Elementary 1 2 3 
Middle School 1 2 3 
High School 1 2 3 
Adult 1 2 3 
Elders 1 2 3 
   
Formal Training Do you have a formal training and/or qualification in:
Workshop skills? Give details...
Teacher training? Give details...
   
Disability Experience Do you have experience of working with children or adults with disabilities?
Yes Give details
   
Location Experience Where have you worked? Please tick the relevent box and indicate the amount of experience in these contexts (1 = lots of experience; 2 = some; 3 = a little):
In-school 1 2 3 
After-school 1 2 3 
Summer camps 1 2 3 
Festivals 1 2 3 
Evening classes 1 2 3 
Children's parties 1 2 3 
Others Give details...
   
4. RESOURCES Do you have resources you can make available to projects?
Vehicle Give details...
Stilts Give details...
Musical instruments and equipment Give details...
Other Give details...
   
5. LANGUAGES What languages do you speak? (Please list level of proficiency from 1 - 3)
Spanish 1 2 3 
Cantonese 1 2 3 
Other Give details...
 
   
6. POLICE CHECK Are you open to having live-scan finger-printing, if requested by a school or organization?
  Yes No
   
7. REFERENCES Please give the name and contact details for two references that can be contacted about your work:
Name
Contact # / Email
Name
Contact # / Email
   
8. MISSION Give a few sentences about your approach and what you really enjoy about work in community settings
 
   
9. DATA PROTECTION Would you like to join a Chrysalis e-mail list notifying you of upcoming projects and training opportunities?
  Yes No
  Would you be happy for us to pass on your contact details to other organizations looking for community artists?
  Yes No
 
THANK YOU VERY MUCH FOR TAKING TIME TO COMPLETE THIS QUESTIONNAIRE!
Come as you really are!
Create the world you dream with every choice you make!