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Instructor Application

  1. Contact Information:
  2. First Name(*)
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  3. Last Name(*)
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  4. Email Address(*)
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  5. Primary Phone(*)
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    nnn-nnn-nnnn
  6. Alternate Phone
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    nnn-nnn-nnnn
  7. Address 1(*)
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  8. Address 2
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  9. City(*)
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  10. State(*)
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  11. Zip Code(*)
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  12. Qualifications:
  13. Briefly describe your experience in the field(s) you wish to teach(*)
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  14. If you are a certified teacher or instructor, enter your credentials
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  15. Course Information:
  16. Location(s) you are interested in teaching at(*)
    Please select at least 1 location
  17. Name of course you would like to teach(*)
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  18. Course Language(*)
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  19. Course Description(*)
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  20. Total length of course in hours(*)
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  21. Number of hours needed per day for this course(*)
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  22. Other info about the course schedule (i.e. "1 day per week for 5 weeks"," weekends preferred", etc)
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  23. Minimum number of students required for a class(*)
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  24. Expected amount ($) each student will pay for this course(*)
    Please enter Free if the class is free to students or enter the whole amount in numbers only. (If a student will pay $100.00 for the course, enter 100)
    If this course is free, enter "Free".
  25. Do you have your own course materials?(*)
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  26. Have you ever taught this course before?(*)
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  27. Netelligen Website Participation
  28. Are you willing to actively participate in the Netelligen online forums?(*)
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  29. Are you willing to provide at least one helpful knowledgebase article per day of training that you provide?(*)
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  30. We need to make sure you are a human and not a spamming robot
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