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Step One

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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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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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
1. Yes
1. No
Materials Fee
Materials Provided By
1. Student
1. Teacher
List Materials Needed
Minimum # of Students
Maximum # of Students
Type of Facility

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