CiRCE Apprenticeship Application

Application for the 2013-14 School Year
Thank you for your interest in applying for the CiRCE Apprentice Program for the 2012-13 school year. We
look forward to working alongside you as you seek to cultivate wisdom and virtue in your students and
children.

Please take a moment to review the details of the program to ensure that you do, indeed, want to take
part in this unique program.

If you're sure, please fill out the following application.

Note that a $30 application fee is required. You will be prompted to pay it on the next page.

Once you've completed this application and paid the application fee, please mail a hand-written
biographical essay (1-2 pages in length) that explains why you are interested in taking part in this program
to the following address:

The CiRCE Institute Apprenticeship Program
4190 Brownwood Lane
Concord, NC 28027

Thank you!
Full Name

PrefixFirst NameMiddle NameLast NameSuffix
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Home Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
For which apprenticeship are you applying?
Please briefly describe your current teaching status
How did you find out about the CiRCE Apprenticeship?
E-mail
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