Instructor Application Form
Name
*
First Name
Middle Name
Last Name
Recent photo of yourself
*
Browse Files
Cancel
of
Email Address
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Are you holder of any relevant certifications or degrees?
*
Yes
No
Yes or No
Name of certificate or degree
Classes are held on Fridays at noon. Are you regularly scheduled elsewhere during that time?
*
Education (In chronological order)
*
Rows
Institution of Learning
Qualifications Obtained
Dates of Award
1
2
3
4
Working Experience (In chronological order)
*
Rows
Name of employer
Dates
Job title
Job responsibility
1
2
3
4
Do you have a strong wifi connection and a webcam?
*
Yes
No
Are you familiar with Zoom and comfortable logging onto meetings?
*
Yes
No
Skills Level (Choose the box to show which level you are in each area)
*
Rows
Beginner
Intermediate
Advanced
Subject Matter Expert
Verbal Communication
Teaching
Lesson Planning
Social Media
Facilitation
Workshop and Speaking Experience
Rows
Date
Length
Subject
Audience
1
2
3
4
5
6
7
8
9
10
Professional References (A minimum of three references with up to date contact details. CEO SCHOOL will be contacting all listed. References must be no longer than 24 months old.)
*
Rows
Name
Position
Email Address
Relationship
1
2
3
Written References 1
Browse Files
Cancel
of
Video submission (not required but helpful)
Browse Files
Cancel
of
Video links
Bio
Browse Files
Cancel
of
Why you want to be a CEO SCHOOL instructor? (No more than 100 words)
*
Where did you hear about this opportunity?
LinkedIn
Instagram
Facebook
Family & friends
Other
Back
Next
Signature
*
Submit
Should be Empty: