Instructor Application

Instructor Application Form
Thank you for applying to instruct at the Center for Death Education. We are a nonprofit, 501(c)(3) organization. As such, instructors are compensated for their classes as independent contractors. Comprehensive payment information will be provided upon selection. Minimum instructor qualifications are one of the following:
- Graduate or Professional degree from an accredited institution related to thanatology (thanatology, psychology, sociology, medicine, gerontology, counseling, nursing, spirituality, ethics, social work, grief counseling, etc.).
- Professional or Occupational certification and at least 2 years of verifiable teaching experience.
All proposed classes/courses will be carefully reviewed and selected by the Center for Death Education. Applicants whose classes are chosen will be contacted directly with the next steps.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.

Instructor Qualifications
List your degree and/or credentials here: (PhD., MS., FT/CT, RN., etc.)*
Please list any relevant work experience here:*
Is there anything else you would like us to know about your experience, philosophy, or vision for death education?
What is your expected compensation range for teaching engagements with a non-profit organization?

Class Information
Proposed Course Title*
Please provide a description of the proposed course.*
Is your class eligible for Continuing Education Units (CEU's)? If so, through which organization is it approved?*
How many sessions do you envision for this course? Each class is 1.5 hours long and includes dedicated time for discussion.*

123456Other
Please indicate your preferred date(s) and time(s) for the class. We will confirm specific dates and times later.*
Should be Empty:

Instructor Application Form