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Instructor Application
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?
*
Select One
Blended
Workshop
Webinar
Teleclass
Do you have a lesson plan and prepared materials?
*
Select One
Yes
No
Do you require assistance to develop a lesson plan and courseware materials prepared for you?
*
Select One
Yes
No
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
*
Select One
Business (e.g. Business Development, Entrepreneurship, Finance, Marketing)
Leadership (e.g. Business Philanthropy, Coaching, Personal Transformation, Public Speaking)
Self Help (e.g. Do It Yourself, Family, Health and Wellness, Spiritual
Technology (e.g. Content Development, Instructional Design, Web Design & Development)
Other Category
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.
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?
*
Select One
Blended
Workshop
Webinar
Teleclass
Do you have a lesson plan and prepared materials?
*
Select One
Yes
No
Do you require assistance to develop a lesson plan and courseware materials prepared for you?
*
Select One
Yes
No
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
*
Select One
Business (e.g. Business Development, Entrepreneurship, Finance, Marketing)
Leadership (e.g. Business Philanthropy, Coaching, Personal Transformation, Public Speaking)
Self Help (e.g. Do It Yourself, Family, Health and Wellness, Spiritual
Technology (e.g. Content Development, Instructional Design, Web Design & Development)
Other Category
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.