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Instructor Application


Personal Information
Your Name *
Your First & Last name
Your E-Mail Address *

to you at this address
Choose a Login Name (User ID) *
It must be 4 or more characters in length and may
only contain lower case letters, numbers, and
the underscore '_'
Choose a Password *
Must be 6 or more characters
Confirm your password *
Enter password again
Instructor's Background
Phone Number *
Enter phone number
Date Of Birth *
You must be at least 18 years old at the time of application. Required format is MM-DD-YYYY
Educational Background *
Please select your highest level of education completed.
ASL Experience *
Please select your American Sign Language experience
How did you hear about us? *
Please select all that apply.
Referred By
Referred to the Signing Time Academy by
Instructor Level
Please select the Instructor Level for which you are applying. (see brief description)
Membership Type *






Payment System *

ADDRESS INFO








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