Allegany College of Maryland Profile Instructor Interest Form
Personal Information
Last Name:
First Name:
Middle Initial:
Address:
City:
State:
Zip Code:
Home Phone:
Business Phone:
Fax Phone:
E-mail Address:
Degree Status: Less Than High School High School / GED AA Degree Bachelors Degree Masters Degree Doctorate
Training Experience
In the check boxes below, please check each area that you have previous training experience.
Public Agency
Private Company
Corporation
Public School System
Human Resources
Other:
Area(s) of Training Expertise
In the space below, list the course(s) that you are interested in teaching and any previous background experience or skills.
Professional Organizations
Please list any groups or professional organizations that you are presently a member of.
Availability To Teach
Place a check by the times that you will be available to teach.
Daytime
Evenings
Weekends
Other Information
Please include any other information that you feel will assist us in evaluating your application.
To submit your registration information, press the Submit Button.