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APPLICATION

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Please complete this application.  Having done so does not bind you to any obligation whatsoever. Your information is confident and will not be shared with any third party without your signed consent. We will review it in 2-3 business days and provide a response via e-mail as to the availability of openings at that time.  We are happy to address any questions or concerns you may have via e-mail @admin@christiancenterforlearningdevelopment.com or by phone: 919-608-8856.  Thank you for your interest.

PARENT or GUARDIAN

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Last Name
Address
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State
Zip Code
Home Phone
Daytime Phone
e-mail address
*Pager
Employment
Are you a primary homeschool teacher ?Yes
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Hours prefer to be called
Applicant's First Name
Applicant's Last Name
Age
Grade Level
School Type
member of Lighthouse Homeschool Association
  

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Your information is confident and will not be shared with any third party without your signed consent.