Class Instructor Proposal Form

Thank you for your interest in teaching a class through Salem School District. Share your expertise with your community! Salem Adult Education is currently recruiting instructors for the 2026 term. Whether your passion is cooking, fitness, technology, or a unique hobby, we invite you to help grow our program.

Please complete this form to help us gather information about your proposed class so we can review it for scheduling, funding, and compliance purposes.

Name
Are you currently employed by Salem School District?
This helps to categorize the class on the district website.
This short description will be displayed on the district website or registration portal.
This long description will be displayed on the district website or registration portal.
Estimated Class Length
Requested dates and times are not guaranteed and are subject to approval and scheduling availability.
Will participants need to bring any materials or supplies?
Does this class require special equipment or room setup?
Please check all that apply.
Have you ever taught this class or a similar one before?
Participant Waiver & Assumption of Risk
The undersigned recognizes that all recreational activities have a certain degree of risk. The undersigned also understand these risks may include injuries ranging from minor sprains and contusions, to major injury, possible paralysis or even death. The undersigned understands the possibility of serious injury may impair his/her future abilities to earn a living; to engage in other business, social, and recreational activities; and to enjoy life generally. Having read and understood the above warning, the undersigned recognizes the importance of following instructions regarding techniques, training and other rules, and the undersigned agrees to obey such instructions. The undersigned further agrees to hold Salem School District, its employees and agents and any and all persons or entities holding thereunder, including any and all policies of insurance, harmless from any and all claims, suits, obligations or other liabilities which arise or may arise out of the undersigned participation in such activities and use of the recreational facilities and equipment. Further, the undersigned agrees to indemnify any of the aforementioned persons and/or entities to the extent of any damage claims, including attorney fees, which arise or may arise out of the undersigned participation in such activities and use of the recreational facilities and equipment. I hereby certify that I have read the above provisions and agree to abide by the terms of this Agreement.
Acknowledgement
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