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A  P  P  L  I  C  A  T  I O  N

Rehearsals for Growth
Certificate Program, 2008-09


NAME___________________________________________

ADDRESS________________________________________

CITY______________  STATE_____  ZIP______________


PHONE:       W:       (           )_________________________

                      H:        (           )_________________________ 

EMAIL__________________________________________


Graduate Degree in ______________________________ OR
Graduate Program Currently enrolled in:

________________________________________________
                                   
If you have taken previous RfG workshops/Courses indicate where and when:

___________________________________________________________

___________________________________________________________

Please enclose your payment for $250.00
(applicable to tuition; refunded if you are not accepted into the program).

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Send Application page, along with checks made payable to: "Rehearsals for Growth," to:

Rehearsals for Growth, LLC
81 Long Plain Rd.
Leverett, MA  01054

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