Instructor Application

First and Last Name *

First & Last Name

Phone Number *

Phone Number

Email *

Website

What is your area of expertise? *

Tell us more about your area of expertise.

How long have you taught this subject? *

What is your proposed course title? *

What is your proposed course description? *

In what ways have you presented this subject? *

Do you have a lesson plan and prepared materials? *

Do you require assistance to develop a lesson plan and courseware materials prepared for you? *

Select One

Yes

Which instructor plan interest you? Select all that apply. *

Instructor Built

SHINSHURI Built

Preferred Partner

Please list your Degrees, Certificates and/or other Professional Designations (ie. Project Management Professional (PMP), etc.), the name of institution where you earned it and the date you earned it. *

Example: BS, Mechanical Engineering, CalPoly San Luis Obispo,1989

Business/Professional Reference 1

Please provide references' name, phone number, email, how the reference knows you, and length of time known by reference.

Business/Professional Reference 2 *

Please provide references' name, phone number, email, how the reference knows you, and length of time known by reference.

Business/Professional Reference 3 *

Please provide references' name, phone number, email, how the reference knows you, and length of time known by reference.

Please choose the subjects on which you would like to teach *

If you selected ‘Other Category’, please specify:

What other information you would like us to know about you? *

Which Affiliate Program are you interested in as an Instructor? Select all that apply.

Link Exchange

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First and Last Name *

First & Last Name

Phone Number *

Phone Number

Email *

Website

What is your area of expertise? *

Tell us more about your area of expertise.

How long have you taught this subject? *

What is your proposed course title? *

What is your proposed course description? *

In what ways have you presented this subject? *

Do you have a lesson plan and prepared materials? *

Do you require assistance to develop a lesson plan and courseware materials prepared for you? *

Select One

Yes

Which instructor plan interest you? Select all that apply. *

Instructor Built

SHINSHURI Built

Preferred Partner

Example: BS, Mechanical Engineering, CalPoly San Luis Obispo,1989

Business/Professional Reference 1

Please provide references' name, phone number, email, how the reference knows you, and length of time known by reference.

Business/Professional Reference 2 *

Please provide references' name, phone number, email, how the reference knows you, and length of time known by reference.

Business/Professional Reference 3 *

Please provide references' name, phone number, email, how the reference knows you, and length of time known by reference.

Please choose the subjects on which you would like to teach *

If you selected ‘Other Category’, please specify:

What other information you would like us to know about you? *

Which Affiliate Program are you interested in as an Instructor? Select all that apply.

Link Exchange

Product Pro

Expert Pro

Advertisement Pro

Captcha

If you are human, leave this field blank.

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