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document.write(" | First Name: | \n");
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document.write(" | Last Name: | \n");
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document.write(" | Address 1: | \n");
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document.write(" | Address 2: | \n");
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document.write(" | City: | \n");
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document.write(" | Zip Code: | \n");
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document.write(" | Country: | \n");
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document.write(" | Web Site: | \n");
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document.write(" | Email Address: | \n");
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document.write(" | Do You Teach at a School or Studio: | \n");
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document.write(" | If so, what is the name of the School: | \n");
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document.write(" | School City: | \n");
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document.write(" | School ZIP/Postal Code: | \n");
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document.write("Do You Freelance: | \n");
document.write("\n");
document.write("Yes
No
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document.write(" |
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document.write("| \n");
document.write("Do You Have a Teacher's Photo (if so, submit below): | \n");
document.write("\n");
document.write("Yes
No
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document.write(" |
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document.write(" | How Many Years Have You Been Teaching: | \n");
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document.write(" | How Many Years Teaching Clay: | \n");
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document.write(" | How Many Years Have you Worked with Clay: | \n");
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document.write(" | How Did You Start with Polymer Clay: | \n");
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document.write(" | What Do You Consider Your Specialties: | \n");
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document.write(" | Some of Your Past Experiences: | \n");
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document.write("| \n");
document.write("Do You Consider Yourself a: | \n");
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document.write("Professional
Semi-Professional
Amateur
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document.write("Have You Been Published in a
Book, Magazine or other Format: | \n");
document.write("\n");
document.write("Yes
No
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document.write(" |
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document.write(" | If YES, Please Explain: | \n");
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document.write("Do you offer Private Lessons: | \n");
document.write("\n");
document.write("Yes
No
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document.write(" | How far will you travel for Private Lessons: | \n");
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document.write(" | What expenses would need to be reimbursed: | \n");
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document.write("Do you offer Group Lessons: | \n");
document.write("\n");
document.write("Yes
No
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document.write(" | Minimum number of students: | \n");
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document.write("
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document.write(" | Maximum number of students: | \n");
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document.write(" | How far will you travel for Group Lessons or Workshops: | \n");
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document.write(" | What expenses would need to be reimbursed: | \n");
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document.write(" | How much preparation do you need for a class: | \n");
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document.write(" | Maximum consecutive days you will teach: | \n");
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document.write(" List your Primary Classes, and a
brief explanation of each: | \n");
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document.write("
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document.write(" What would you say to a promising Polymer Clay Artist
who is interested in becoming a teacher, but isn't sure if
he or she knows enough yet: | \n");
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document.write("