TEACHING EXPERIENCE:
PLEASE INDICATE STUDENT TEACHING (√) FOLLOWING THE YEAR TAUGHT
YEAR	SCHOOL	LOCATION/ADDRESS	GRADE/ SUBJECT	PRINCIPAL	PHONE #
OTHER WORK EXPERIENCE:
YEAR	TYPE	EMPLOYER	LOCATION	PHONE #	SUPERVISOR
EXTRACURRICULAR INTERESTS:
Please list any extracurricular activities that you may be interested or experienced in:
(Examples: Sponsor Groups, Clubs, Coaching, Art, Music, Drama, etc.)
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COMMENTS:
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