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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.