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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your e-mail address?

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* 4. What is your mailing address?

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* 5. Do you have atelier training?

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* 6. Please describe where you have studied art, and the length of time you have studied.

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* 7. Do you have any teaching experience? If so, please describe.

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* 8. Are you a certified art teacher? *not required to be an ambassador

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* 9. Why do you want to be a Da Vinci Initiative Ambassador?

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