2021 Instructor Application

Instructor Application

Fields marked with an * are required.

If you have any accessibility issues with our form and need an alternate application form, please contact us at 919.513.0148 or at shelton_center@ncsu.edu
Applicant Information
Applicant Full Name *

First Name Last Name
Applicant Email Address *
example@example.com
Applicant Phone Number *
Permanent Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Job Title *
Business or Organization *
Applicant Birthdate *

Month Day Year
Gender *
Race *
Ethnicity *
T-Shirt Size *

Please answer the following questions to help us understand your desire to serve as an instructor.
Have you previously served as an Instructor for the Red Hat Shelton Challenge? *
Please list experience you have, if any, with the Shelton Challenge. *
Please tell us why you want to be an Instructor. *
Please tell us any experience you have in teaching/facilitating at any level. Additionally, please describe your teach style. *
Thinking through what you know of the Challenge, please tell us (1) how you would define a successful instructor and (2) what you will do to ensure you would be successful. *
The Shelton Challenge is meant to be a developmental program for staff, as well as students. Please explain a strength you will utilize and a potential area of growth for yourself while serving as an instructor. Additionally, include one goal you will set for yourself during the Challenge week. *

Please rank the following Shelton Challenge weeks for which you would be able to serve:
NCSU 1: June 20-25, 2021 *
Raleigh, NC @ NC State
UNC-C: June 27-July 2, 2021 *
Charlotte, NC @ UNC-C
NCSU 2: July 11-16, 2021 *
Raleigh, NC @ NC State
NCSU 3: July 25-30, 2021 *
Raleigh, NC @ NC State
REFERENCES FOR NEW INSTRUCTORS

Please list two references.

Note: References cannot be related to the applicant.
Reference 1 Name *

First Name Last Name
Reference 1 Email *
example@example.com
Reference 1 Phone Number *
Please enter a valid phone number.
Relationship to Applicant *
Reference 2 Name *

First Name Last Name
Reference 2 Email *
example@example.com
Reference 2 Phone Number *
Please enter a valid phone number.
Relationship to Applicant *
May we contact your references? *
Should be Empty:

Instructor Application