Horseshoe Instructor Exchange

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* 1. Name:

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* 2. Phone Number:

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* 3. Email Address:

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* 4. Number of years worked with Horseshoe:

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* 5. Number of seasons worked as a ski instructor:

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* 6. List any certifications:

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* 7. Do you speak any other languages, if so what language:

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* 8. I'm interested in the:

1 Week Program

2 Week Program

3 Week Program

4 Week Program

Other (please specify)

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* 9. Estimated Date of Arrival

Date / Time

Date

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* 10. Estimated Departure Date

Date / Time

Date