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Summer Youth Media & Tech Camp
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* required information
Media Arts Instructor Application 
Contact Information
Do You Have Teaching Experience? If so, where and what?:
First Name:*
Last Name:*
Email:*
Phone:
Address Line 1:
City:
State:
ZIP/Postal Code:
How did you hear about us?:*
What computer or video experience do you have? (List the programs you know how to use and tell us what you use them for).:
Software/Editing Expertise (CTRL click to select multiple):
School:
Major:
Year Graduated:
Primary Photo: Click here to attach file
Upload Resume:* Click here to attach file
What best describes the classes you would teach?
DIY New Media Lab*    Check/Uncheck All Select all in category 
Audio
DIY/Fab Lab
Family Programming
Video
If for some reason you are unable to submit the above form on-line, please print out and fax/mail completed form to: Ethan van Thillo, MACSD, Executive Director, 2921 El Cajon Blvd, San Diego, CA 92104, 619-230-1938 Fax 619-230-1937
        
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