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Contract Class Instructor Application
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Steps
1.
Step One
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2.
Step Two
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3.
Step Three
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4.
Step Four
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Step One
Applicant Information
First Name
Last Name
Date
Date
Address
City
State
Zip
Phone
Cell
Fax
Email
Website
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Step Two
Instructor Qualifications
List your education/training or personal/professional experience and expertise that qualify you for the contract position.
1. Education/Training Institution
Location
Major
Degree/Units
2. Education/Training Institution
Location
Major
Degree/Units
3. Education/Training Institution
Location
Major
Degree/Units
1. Employer
Dates of Employment
Dates of Employment Start Date
—
Dates of Employment End Date
Job Title
Contact Name
Phone #
2. Employer
Dates of Employment
Dates of Employment Start Date
—
Dates of Employment End Date
Job Title
Contact Name
Phone #
Additional Relevant Information
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Step Three
References
List two references (one personal, one professional) that you have known for at least three (3) years.
1. Reference Name
Relationship
Address
Phone
2. Reference Name
Relationship
Address
Phone
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Step Four
Proposed Class Information
Describe proposed class information here. The information you provide may be re-arranged with you to best serve the community, coincide with facility availability, and serve the objectives of the department.
Class Title
Student Age Group
Class Description
Summarize course objectives in 50 words or less
Class Fee
Materials Required
Yes
No
Materials Fee
Materials Provided By
Student
Teacher
List Materials Needed
Minimum # of Students
Maximum # of Students
Type of Facility
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