Application Opens: October 20, 2020 (subject to change) 
Application Closes: May 1, 2021 (subject to change) 

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* 1. Company Name

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* 2. Company Address

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* 3. First & Last Name

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* 4. Direct Phone Number

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* 5. Email Address

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* 6. How did you hear about the Teacher Externship Program?

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* 7. By filling out this form I acknowledge that someone from the Maryland Chamber Foundation will reach out to me to discuss the opportunity for my company to sponsor and host a teacher extern in the summer of 2021.

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