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Elementary & Jr. High Ballroom

Teacher & Assistant Application



Marital Status


Educational Experience
Dance Experience
Dance Teaching Experience

Have you taken a Ballroom Dance Technique Methods Class?

Have you taken the Elementary Ballroom Teacher Training Workshop?


Are you available to teach for the entire school year?

(Sept - May)

What time of day are you available to teach/assist?

What days are you available to teach/assist?

(List all that apply)

Are you willing to travel as

far north as Alpine?

Are you willing to travel as

far south as Spanish Fork?

Are you willing to travel as

far west as Saratoga Springs?

Are you willing to travel as

far west as Eagle Mountain?


What level of teaching are you interested in applying for? List ALL that apply

Elementary Level

Intro to Ballroom (1 day/week),  Level 1 or Level 2 (2 days/week), Lead Teacher, Assistant

Junior High Level

Before-school program (2 days/week),  After-school program (2 days/week),  In-school (A/B days),  Assitant

Are you currently teaching for an elementary ballroom program?

Have you taught for Elementary Balllroom before?

References: please list 3 work references
Questions, Concerns, or Additional Information

Please Initial:

I understand that I will be required to attend monthly teacher trainings during August through December.

I understand if the school where I am placed wants to participate in the Elementary Ballroom Team Match events, that I am expected to attend the Team Match meetings (Oct. Jan. & Feb.) and the events with my students. Alpine Team Match (Jan), UVU (Feb), BYU (March)

I understand my teaching salary will be negotiated with the school where I teach which is based on my teaching experience and education. (approximately $10 to $25 a class)

I submit that the information on this form is correct. If my schedule changes to affect my availability, I will inform the Ballroom Coordinator Cheryll Treu (801) 427-4495,

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