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New Contract Instructor Application
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Steps
1.
Step One
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2.
Background, Experience & Programming
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3.
Information Available to the Public
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Step One
Instructor Name
Business / Organization Name
Legal Name for Payroll:
Address
City
State
Zip Code
Home Phone
*
Work Phone
Mobile Phone
*
Fax
Email Address
*
Birth Date
*
Birth Date
Gender
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Background, Experience & Programming
Please describe your background and experience:
Proposed course and / or subject matter:
Proposed age range for class participants:
List 3 program outcomes (i.e., As a result of this class, participants will be able to...):
Why should the Town of Danville offer your class?
List other locations/agencies where you have taught or are already teaching the proposed class:
Provide 3 references with phone numbers:
Have you submitted a Course Proposal in addition to this application?
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Information Available to the Public
PUBLIC BIOGRAPHY: If you are accepted as an Instructor with the Town of Danville, what would you like your public biography to say about you.
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What pieces of information would you want available to the public?
Home Phone
Cell Phone
Work Phone
Email
Photo
A Program Coordinator will contact you to arrange an interview after receiving your Application and Course Proposal. Please be prepared to provide a course outline, sample materials, information about your organization, etc.
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