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* 1. Contact Details

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* 2. Website

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* 3. ABN

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* 4. Do you live in the City of Port Phillip?

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* 5. Do you work in the City of Port Phillip?

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* 6. Are you happy to participate in community day events for Linden?

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* 7. Provide us with a statement about your practice

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* 8. Provide a brief overview of your teaching experience and qualifications

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* 9. What type of classes would you like to run at Linden?

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* 10. What participant level would you aim your classes at? For example, introduction, intermediate or advanced.

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* 11. Have you taught these classes before?

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* 12. What are the minimum number of participants you require to present a class?

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* 13. What are the maximum number of participants you would like in a class?

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* 14. How would your classes contribute to the City of Port Phillip's Art & Soul Strategy?

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* 15. We require the names of 2 professional referees to support this application. Please provide the contact details of a professional referee 1 below

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* 16. Please provide the contact details of your professional referee 2 below:

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* 17. Do you have a current working with children check?

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* 18. Do you have a current police check?

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