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Thank you for your interest! Please take a moment to fill out this form. If you cannot access this application, please call us at 82-2-305-7971 or E-mail Name in full Address E-Mail Phone Fax Date of Birth Month 1 2 3 4 5 6 7 8 9 10 11 12 Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 Gender Male Female Country of Citizenship   Caucasian Black Hispanic Asian Other BA/BS -College or University Major Minor Year Graduated Teaching Experience Status Single Married Earliest Date of Availability Preferred Location Any Additional Comments   #610, 702-13, Yeoksam-Dong, Gangnam-Gu, Seoul,KOREA Zip Code 135-917 (Phone)82-2-305-7971 (FAX)82-2-334-5179 bryan@hbscompany.com