Instructor Employment Application

INSTRUCTOR INFORMATION

First Name:*

M.I.:

Last Name:*

Email:*

Phone:*

Alt. Phone:

Fax:

Cell:

Address:*

City:*

State:*

Zip:

PREFERENCES

Campuses of Interest:

If you are interested in and able to teach at multiple campuses, check them below.

Marlton

St Louis

Wayne

Woodbridge

Commute Time:

Please indicate in minutes of travel your distance from the campus of interest.

Best Contact Time:

Please indicate the best days and times to reach you.

Full/Part Time?:

Please indicate if you are looking for fulltime or part-time work.

Preferred Day & Time slots:

Time slots taught are 9am to 1pm, 1pm to 5pm, and 6pm to 10pm. Please indicate which days of the week (Mon thru Fri, and Sat) and which time slots you are available to teach.

Courses:

Which classes are you interested in tutoring? (choose all that apply)

A & P	Dev Physcology	English Comp	Humanities
Microbiology	Psychology	Sociology	N104
N105	N106	N107	N211
N212	N213	N214

Medical Licenses:*

Please check any licenses that you have, or enter in "Other Licenses."

RN LPN Paramedic
Respiratory Therapist Medical Doctor NONE of these

Or Other Licenses:

Teaching Experience:

Please list any teaching experience that you have.

Pet Peeve:

Please explain your biggest pet peeve around the work place.

Room for Improvement:

Please explain something about yourself that you tried to improve in the past after receiving constructive criticism about your past teaching.