Deadline to apply: January 15, 2020

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* 1. Applicant name:

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* 2. Home address:

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* 3. Phone number:

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* 4. Email address:

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* 5. School:

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* 6. Grade(s) taught:

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* 7. Subject(s) taught:

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* 8. How many years of teaching experience do you have?

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* 9. Is there an industry that interests you and/or a particular business in Maryland where you would like to extern?

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