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BASICS APPLICATION

First Name:
Last Name:
Address:

Mont. work experience if any:

Phone H:
Phone W:
E-mail:

Application fee: $50.00
must be included in application.

Total program cost is $350.00.

Dates: August 2 - August 5, 2010

Time: 8 AM - 4:30 PM

Please print and send info to:

Midwest Montessori Teacher Training Center

C/O Louise and Wolfgang Kunert

813 Breaman Court

Libertyville, IL 60048

Telephone: 847-276-0405 or 0404

Email: wmkunert@gmail.com