What school do you work at currently, if you are a teacher? If you are not currently employed as a teacher, please describe your role and interest in the program. *
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What amount of tuition could you afford? Please state the highest amount possible, to enable as many others as possible to receive a sliding-scale tuition with our limited funds. Thank you! *
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(Optional) What is your race/ethnicity?
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(Optional) What is your gender identity?
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If you have any comments, please feel free to include here. Thank you!
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