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Emerald Tech Club

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Student Application

To begin the application process, select one of the following options. If you are a already a member, you must first log in before applying. If you are not a currently a member begin by entering your contact information.
Enter all information as detailed as possible. If you are unable to complete the application at this time, you may save it and return later by clicking the 'Save Session' button. Once completed, click 'Submit Application'.
Club Member? Login to Apply
 
Contact Information
Student First Name
 *
Student Last Name
 *
Preferred Email Address
 *
Preferred Phone
Address 1
 *
Address 2
City
 *
State/Province
 *
Zip/Postal Code
Country
  Show All Countries
Education and Goals
Anticipated Entry Semester
Reason for wishing to attend HBCU2
Current EmeraldTestClub member?    No
 
Primary place of employment

Max 200 characters -  characters left
Highest Level of Education
 *
Educational Background
 *
Max 400 characters -  characters left
States certified to teach

Max 100 characters -  characters left
Subjects Certified to Teach

Max 500 characters -  characters left
Describe dance training and performance history

Max 1000 characters -  characters left
Describe teaching experience in dance

Max 1000 characters -  characters left
Describe any other activities, certification, experience that may be relevant

Max 1000 characters -  characters left
Career goals and how HBCU2 will help

Max 1000 characters -  characters left
How did you hear about HBCU2?
Disclaimer
 
This is the Application Disclaimer.
 
Please read it carefully!
 
If you have any questions, contact The Director.?? Otherwise, Have a nice day!! ??
 
Thank you!

ETC Site Admins


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