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New Teacher Application

* indicates a required answer.

1. *

Name: 

2. *

Address:

3. *

Home Phone:

4.

Cell Phone:

5. *

Email Address (for communication):

6. *

PayPal Email Address (Used for payment purposes only):

7.

Will your family be a member of Homeschool First?

If not, then there will be a $25 fee to cover website access and insurance each year.  This will be charged via Paypal or check/cash.

 
Yes No
8. *

What classes are you interested in teaching?  

9. *

Please describe your educational and/or employment background related to what you are interested in teaching:  

10. *

Please provide a bio for our website (limit to 4 or 5 sentences):  

11.

Please list at least 1 person as a reference along with their phone number. 

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