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?
*
Add
Delete
Instructor Name
*
First Name
Last Name
Instructor Email
*
example@example.com
Course Title
*
Number of Hours
*
Course Start Date
Please note: If courses are held once a week, a new form is required.
Start date
*
-
Month
-
Day
Year
Date
For a multiple day course, please provide end date
-
Month
-
Day
Year
Date
Start Time
*
Hour Minutes
AM
PM
AM/PM Option
End Time
*
Hour Minutes
AM
PM
AM/PM Option
Please include alternate dates and times in case your first choice is not available
Start date
*
-
Month
-
Day
Year
Date
For a multiple day course, please provide end date
*
-
Month
-
Day
Year
Date
Start Time
*
Hour Minutes
AM
PM
AM/PM Option
End Time
*
Hour Minutes
AM
PM
AM/PM Option
Start date
*
-
Month
-
Day
Year
Date
For a multiple day course, please provide end date
*
-
Month
-
Day
Year
Date
Start Time
*
Hour Minutes
AM
PM
AM/PM Option
End Time
*
Hour Minutes
AM
PM
AM/PM Option
Submit
Should be Empty: