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2. First Name*
3. Last Name*
5. Website
6. Instructor Profile Photo
8. Instructor Bio*

   Write a brief bio (600 characters max). Suggestions of things you can include are: education/experience, mediums/programs/productions you have taught.  Also, years of experience, instruction style, etc.

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10. 1. Receive an email copy of this form.
11. Email address

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