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International Association of Apostolic Educators
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General Membership Application
Personal Information
Name
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Address
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Contact Number
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Occupation/Job Title or School Attending
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Website
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Age (Must be 16 or older)
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Gender
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Credentials/Certifications
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Nationality/Ethnic Origin
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Start Date of Membership
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Professional Information
Setting of Your Organization:
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Type of Organization:
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For Educators Only: What subject/s do you teach?
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For Educators Only:  What level do you teach?
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Educational Consultants' Guild
What area/s are you qualified to be a consultant in?
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What are your qualifications, licensures or credentials?
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What is your experience in this area?
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Do you provide insurance or some type of quality assurance for your work?
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How much do you charge?
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Are you legally eligible to be a consultant?
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Please describe more about your services and availablity.  List the states that you can work in.  Explain any special circumstance or accomodations.  (Forward resumes or other supporting documents to iaae.upci@gmail.com)
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Signature
Member Signature
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Date of Signature
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