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TEACHER APPLICATION (Deadline to apply is June 1, 2009) Please Print: Last Name First Name Middle Home Mailing Address Email Address City, State Zip Home Phone Please select the answer in each statement

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2009 2010 Texas 3-day 2-week 6th-10th Driscoll 8th Revi 7th 6th TX PhD STIPENDS TQ TRC baccalaureate Algebraic Cert Fostering Collaborative ATTN Ethnicity INCENTIVES Alt hrs sed Undergrad Supervisors weekday Undergraduate Blvd UT

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