Your name* Are you at least 16yrs of age?* YesNo Address* Martial Status Emergency Contact Person* How long have you been dancing? What Teachers have you take classes from? Have you ever assisted a teacher before?*YesNoIf so, Where? Have you ever work as a teacher before?*YesNoIf so, Where? How long have you been teaching?* What disciplines can you assist or teach with?*BallroomLatinJazzHip HopLyrical At what level can you assist ore teach with this disciplines?*BeginnerIntermediateAdvanced Are you interesting and apply for*TeacherAssisted a Teacher Do you believe you are capable of working well with teachers, students and officers of Basic Ballroom?*YesNo Would you be able to provide a DVD of something you have done recently?YesNoIf not, would you be willing to audition?YesNo Your message (optional)