1. Basic Application Information

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* 1. Full Legal Name

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* 2. APS Identification Badge Number

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* 3. Birthdate

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* 4. Street Address

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* 5. City

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* 6. Zip Code

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* 7. School of Employment

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* 8. Grade level and/or subject assignment

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* 9. Total years experience teaching:

 
Years Teaching:

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* 10. Work Phone #

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* 11. Home/Cell Phone

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* 12. Summer email address

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