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Regional
Coordinator Application
Form
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Name:
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Address:
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City:
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State:
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Zip:
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Country:
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Phones:
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Home
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Business
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Cell
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E-mail:
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Country of Birth:
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Languages:
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Social Security:
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// |
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Degrees with majors and minors:
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Marketing and other business experience:
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Teaching experience (any age, any subject):
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Computer (Check all that apply):
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Describe computer experience and level of expertise:
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Other relevant
experience:
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Local References:
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1st
Reference Name:
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Phones:
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Business
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Home
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2nd
Reference Name:
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Phone:
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Business
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Home
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