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Lynchburg Parks & Recreation

customerservice@lynchburgva.gov

301 Grove St. Lynchburg, VA 24501

434-455-5858

Instructor Interest Form

Full Name

Full Address

Education/ Degree (select all that apply)

Select the interest area you are able to teach. (select all that apply)

Preferred Length Of Program

Preferred Teaching Season (select all that apply)

Preferred Age Group to Teach (select all that apply)

Pay Type

Attach additional documents such as a resume, references, or certifications.

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You may be required to fill out a background check. Do you agree to this term?