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* 1. Name:

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* 2. Street Address or PO Box:

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* 3. City:

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* 4. State:

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* 5. ZIP:

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* 6. Phone:

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* 7. Alternate Phone:

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* 8. Email:

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* 9. Briefly tell us about experience you have training others.

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* 10. Briefly explain your knowledge and craft.

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* 11. Outline your proposal for your studio hours project.

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* 12. Outline your proposal for your classes.

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