Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

School Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Grade Levels at Your School *

Elementary

Middle

High

Have you led any student clubs or extracurricular activities before? *

Yes

No

Do you have a minimum of 10 students interested in joining the troupe? *

Yes

Not yet, but I'm confident I can recruit at least 10

Do you have the support or permission from your school to lead this program on campus? *

Yes

Pending

No

Preferred Program Launch Month *

August

September

October

January

Are you interested in receiving the $1,000 stipend for MTA coaches? *

Stipends are contingent on: - Having a minimum of 10 actively participating students. - Completing MTA onboarding and training. - Following all MTA guidelines and submitting monthly attendance and progress reports.

Yes

No

Agreement & Acknowledgement *

By clicking "yes below, I confirm that the information provided is accurate and that I am interested in coaching a Modeling Troupe Association program at my school. I understand that I must complete an MTA Coach agreement and NDA, and may not create a similar modeling-based youth program for a minimum of 5 years from the end of my affiliation with MTA.

Yes