NEXT Fall Class Registration for Teachers Outside Philadelphia

 
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1. First Name
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2. Last Name
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3. Exact birth date, including day, month, and year.
4. Ethnicity (for demographic purposes)
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5. Email Address
6. Phone Number
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7. Street Address
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8. City and State
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9. Zip Code
10. Please list what topics you will be teaching in the 2013-2014 school year.
11. Please indicate what grades/ages you will be teaching in the 2013-2014 school year.
12. Please tell us any topics you would suggest for the NEXT spring classes.
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