Instructor Application

Application for Paid Private Instructors

We will contact you after the Paid Private Instruction Committee of the Seattle Go Center reads your form. This form will disappear after you submit it, but we will get it.

Thank you for filling it out!

If you are a human and are seeing this field, please leave it blank.

Fields marked with a * are required.

Last Name (family name) *

First Name *

Mailing Address 1 *

Mailing Address 2

City *

State *

Zip / Post Code *

Phone *

Are you a citizen of the United States? *

If you are not a citizen of the United States, are you authorized to work in the U.S.?

Have you ever been convicted of a felony? *

If you have been convicted of a felony, please give us the details:

Is there any reason why you should not be near children (legal or other)? *

Please explain if there is any other reason why you should not be near children

Your Native Language is: *

Your Second Language, if any:

Proficiency in Second Language

Your Third Language, if any:

Proficiency in Third Language

How many years have you played Go?

What is your official ranking?

Which Go association established your rank?

Please briefly describe your experience teaching Go, including the ages of your students, and the skill levels you taught. *

Do you have any other teaching experience? If so, please give a brief description of your experience.

What age students would you like to teach? *

What level students would you like to teach? *

After you hit submit, the form should disappear from this page, and we will get it! If it does not disappear, please check to see that all the required fields are filled in. We will contact you after we read your application. Thanks! The Paid Private Instruction Committee

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