Wichita HOT Instructor Form

Thank you for coming to instruct at Wichita HOT! Please complete this form so we have up-to-date information available for you in our records and on our website.

Full Name*

First NameLast Name

Organization

Department or Affiliation

E-mail*

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Instructor Bio*

Please provide a short bio about yourself. Include your years of service, departments or regions served, ranks held, training organizations your belong to, special qualifications, publications, awards, or unique experiences.

Instructor Photo*

Upload a File

Why do we need this? If your class is selected, we will display your photo on our instructor page. File must be in jpg, gif, png, bmp, tiff, or pdf format.

Instructor Website

Do you have a website for your training organization or a related website that you own? If so you may include it for our site.

Articles You've Written

Do you have any articles you've written that you'd like shared with your potential students? If so please include the web address so we may link them to our site.

Classes You Will Be Assisting With This Year*

Do you have a business or organization you will be promoting? If yes, what is the name?

If you will be promoting a business or organization, would you like a complimentary vendor table?

No table needed.Yes, I need 1 table.Yes, I need 2 tables.

Enter the message as it's shown*

Instructor Information