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Indian Pueblo Cultural Center
2401 12th Street NW
Albuquerque, New Mexico 87104
Phone: Local: 505-843-7270 Toll Free: 1-866-855-7902

Hours: 9am-5pm
Tues-Sun

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Pueblo Gingerbread House Contest Entry Form

Entrant Name(Required)

First Last

Tribal Affiliation, (if any)

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Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Enter the age of the entrant before December 15th 2024

Age – Date of Birth(Required)

MM slash DD slash YYYY

Yes, I affirm(Required)

I affirm that the entrant is the age entered above and will independently design, construct, and decorate the entry to be submitted.

I agree to the privacy policy.

Name of Parent Guardian (if entrant is 18 years or younger)(Required)

First Last

Consent(Required)

I acknowledge and will abide by the rules of this contest. Permission is hereby granted to the Indian Pueblo Cultural Center to
print or otherwise duplicate the picture or likeness of my entry and/or myself with my entry for either internal or external release.
This includes print, online publications, and media. I understand that the image of my entry becomes the property of the Indian
Pueblo Cultural Center.

Permission is also granted to the Indian Pueblo Cultural Center to transport my entry for publicity purposes while understanding
that, at no time, does the Indian Pueblo Cultural Center guarantee the safety or security of my entry, and cannot be held
responsible for any damages incurred by my entry on or off the Center’s property.

I agree

Delivery Date (Enter the date you will deliver your house)(Required)

We are accepting delivery of Pueblo Gingerbread House entries from November 19th through December 15th.

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Birthdays, Retirement Parties, Quinceaneras, Dances, Bar Mitzvas, Bat Mitzvas at IPCC

Birthdays, Retirement Parties, Quinceaneras, Dances, Bar Mitzvas, Bat Mitzvas at IPCC

Birthdays, Retirement Parties, Quinceaneras, Dances, Bar Mitzvas, Bat Mitzvas at IPCC

Meetings, Conferences, Panel Discussions, Press Events, Expos, at IPCC

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Weddings, Ceremonies, Receptions, Showers at IPCC

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Curriculum Writer Application Middle School Level

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Have you served as a Curriculum Writer for IPCC in the past?(Required)

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No

If Yes, what subject areas and for what grade levels?

Tell us about your overall teaching experience:

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Most Recent Grades you have taught

6

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8

Total Number of Years of classroom teaching experience

What grade levels have you taught?

Select all that apply.

6

7

8

How many years of curriculum development experience do you have in the following content areas?

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Briefly describe your experience in developing curriculum for elementary grades:

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Curriculum Writer Application Elementary School Level

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Yes

No

If Yes, what subject areas and for what grade levels?

Tell us about your overall teaching experience:

Current School

Years

Most Recent Grades you have taught

K

1

2

3

4

5

Total Number of Years of classroom teaching experience

What grade levels have you taught?

Select all that apply.

K

1

2

3

4

5

How many years of curriculum development experience do you have in the following content areas?

Science

Language Arts

Social Studies

Mathematics

Briefly describe your experience in developing curriculum for elementary grades:

Briefly describe how you incorporated NM State Standards or Common Core into your daily lesson plans:

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Max. file size: 100 MB.

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