WED Trainer/Instructor Application
Please Fill Out the Form Below to Submit Your Application.
Personal Information
Name
*
Prefix
First Name
Last Name
Suffix
Email
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
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California
Colorado
Connecticut
Delaware
District of Columbia
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Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Do you have a valid Driver's License?
*
Yes
No
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WED Trainer/Instructor Application
Program & Availability
Which course(s) would you be interested in teaching?
Automotive Technician
Basic Stick Welding
CHW (Community Health Worker)
CMA (Certified Medical Assistant)
Dental Assistant
Drivers Training
EMT (Emergency Medical Technician)
HVAC
Medical Office Specialist
MPO (Manufacturing Production Operator)
Nail Technician
Phlebotomy
Other
Select which locations you would be willing to teach at
*
Main Campus
ITC Campus (Vienna, WV)
JCC Campus (Ripley, WV)
Other
Earliest Start Date?
*
-
Month
-
Day
Year
Date Picker Icon
Which course(s) would you be interested in teaching?
*
Earliest Start Date?
*
Check those times you would typical available to lead classes:
*
Rows
Mornings
Afternoon
Evenings
Not Available
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Additional Availability Details (Optional)
Use this space to share and changes seasonally, restrictions, or notice requirements or other items.
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WED Trainer/Instructor Application
Instructional Experience
Briefly, tell us why you feel you are qualified to teach this program.
*
Highest Level of Education
*
Please Select
High School
Some College
Associates
Bachelors
Masters
Other
What types of instruction are you comfortable providing?
*
Traditional Classroom
Hands-on / Lab-based instruction (skills practice, demonstrations)
Small group instruction (workshops, breakout sessions)
One-on-one instruction (individual coaching or tutoring)
Online (synchronous) (live virtual classes via Zoom, Teams, etc.)
Online (asynchronous) (pre-recorded content, LMS-based teaching)
Other
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WED Trainer/Instructor Application
Employment History & Certifications
Please choose a method to share your Employment History:
*
Type Manually
Upload Resume (PDF)
Employment History
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Certifications
Please enter or upload any certification you hold below:
Certifications
Upload certifications or other documents.
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You can share certificates, diplomas etc. as PDF, JPG or PNG,
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