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Personal Information

First Name:

Last Name:

Email:

Address:

City:

Postal Code:

Phone:

Language:

Choose the courses you master and you would like to teach:

	Prim.	Sec. 1	Sec. 2	Sec. 3	Sec. 4	Sec. 5
Mathematics
French
English
Physics
Biology
Chemistry
Geographie
History and Social Education

My Education:

I have a car:

Yes

What is your maximum travel time for you to get to the appointment location ? (in minutes)

1 hour course:

1.5 hour course:

2 hours course:

How many hour are you willing to work each week ?

Letter of Intent:

Attach Your Resume:

Confirmation

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