Fillable NEW INSTRUCTOR INFORMATION FORM (City of Yorba Linda)

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NEW INSTRUCTOR INFORMATION FORM (City of Yorba Linda)

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File type: PDF

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NEW INSTRUCTOR INFORMATION FORM
Instructor Name:
Address:
City: State: Zip Code:
Contact Phone Number: Alt. Phone Number:
*Email: Fax Number:
*
must provide
In order to determine if your proposed class would be of a positive benefit either educationally or recreationally
to the residents of Yorba Linda, please answer the following questions:
Please describe your educational background or experience as it relates to your proposed class:
Please explain why you believe that your proposed class would be a benefit to the Yorba Linda community:
Please list previous classes taught by you:
Class Name:
Organization:
Site: Dates:
Supervisor:
Phone Number:
Class Name:
Organization:
Site: Dates:
Supervisor:
Phone Number:
Please list three (3) references:
First Name: Last Name:
Phone Number: Relationship:
First Name: Last Name:
Phone Number: Relationship:
First Name: Last Name:
Phone Number: Relationship:
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NEW INSTRUCTOR INFORMATION FORM (City of Yorba Linda)

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Completed 25 March 2021

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