Teacher’s Workshop Application - Central Pennsylvania Youth Ballet

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Application fee $85.

Please fill out the application below to be considered for the CPYB Teachers Workshop.

A separate application is required for each applicant.

Applicant Name*
First Name Last Name
Date of Birth*
Home Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Email*
Home Number*
Mobile Number*
Have you attended the CPYB Teachers Workshop in previous years?*
- Yes
- No
How did you hear about the Teacher's Workshop?*
How many years have you been teaching?*
Current/Most Recent Teaching Experience
Name of School, Include City and State*
Age of Students Taught*
Start and End Date of your Current or Most Recent Teaching Employment.*
Professional Dance Experience
Do you have professional dance experience?*
- Yes
- No
Name of Company, Position and Years*
Please share any other pertinent information such as awards and/or other teacher/dancer experience you'd like for us to know. (50 words or less)*
Application Fee
Teacher's Workshop Application Fee
Application Fee
$0.00

Credit Card*

Cardholder Name

Card Information

Agreement
I understand that upon submission of this application, CPYB will approve or disapprove the application. All applicants will be notified of their status via the email address provided. Application fee is non-refundable. I understand that following my acceptance, I must complete a separate commitment form to reserve my place in the 2023 Teachers Workshop.
Agreement*
- I Agree
Consent
- I consent to receive updates via email. I understand I can unsubscribe at any time.
Phone
This field is for validation purposes and should be left unchanged.