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Fill out the following\n"); document.write("information (bold fields are mandatory) and click 'Submit'.

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First Name:
Last Name:
Address 1:
Address 2:
City:
State/Province:
Zip Code:
Country:
Web Site:
Email Address:
Do You Teach at a School or Studio:
If so, what is the name of the School:
School City:
School ZIP/Postal Code:
\n"); document.write("Do You Freelance:\n"); document.write("\n"); document.write("Yes
No
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\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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How Many Years Have You Been Teaching:
How Many Years Teaching Clay:
How Many Years Have you Worked with Clay:
How Did You Start with Polymer Clay:
What Do You Consider Your Specialties:
Some of Your Past Experiences:
\n"); document.write("Do You Consider Yourself a:\n"); document.write("\n"); document.write("Professional
Semi-Professional
Amateur
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\n"); 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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If YES, Please Explain:
\n"); document.write("Do you offer Private Lessons:\n"); document.write("\n"); document.write("Yes
No
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How far will you travel for Private Lessons:
What expenses would need to be reimbursed:
\n"); document.write("Do you offer Group Lessons:\n"); document.write("\n"); document.write("Yes
No
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Minimum number of students:
Maximum number of students:
How far will you travel for Group Lessons or Workshops:
What expenses would need to be reimbursed:
How much preparation do you need for a class:
Maximum consecutive days you will teach:
List your Primary Classes, and a
brief explanation of each:
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:
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