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Apply here

First name*

Last name*

Email*

Phone*

Birthday*

Month

Day

Year

Address*

Preferred Roles

Teacher

Planner

Material Preparation

Class Support

Supplies Coordinator

Donations Specialist

Availability - Please check all that apply

Mornings

Afternoons

Evenings

Weekends

Days Available

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Do you have experience working with children?

Yes

No

Will you consent to a background check?

Yes

No

Please list one professional and one personal reference

Emergency Contact

Urban Cultural Arts & Event Center

618 Bodart St

Green Bay, WI 54301

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