Broadcast Instructor Request

Broadcast Instructor Request

**If the course is not already approved by TREC or you have not turned in the CE course application, please do that first before submitting this form.
Would you like to ADD a new course or DELETE an existing course on theBroadcast Schedule?*

AddDelete
Instructor Name*

First NameLast Name
Instructor Email*
example@example.com
Course Title*
Zoom Link *
Number of Hours*
Course Start Date

Please note: If courses are held once a week, a new form is required.
Start date*

MonthDayYear
Date
For a multiple day course, please provide end date

MonthDayYear
Date
Start Time*

Hour Minutes

AM/PM Option
End Time*

Hour Minutes

AM/PM Option
Please include alternate dates and times in case your first choice is not available
Start date*

MonthDayYear
Date
For a multiple day course, please provide end date*

MonthDayYear
Date
Start Time*

Hour Minutes

AM/PM Option
End Time*

Hour Minutes

AM/PM Option
Start date*

MonthDayYear
Date
For a multiple day course, please provide end date*

MonthDayYear
Date
Start Time*

Hour Minutes

AM/PM Option
End Time*

Hour Minutes

AM/PM Option
Should be Empty:

Course Start Date