Part-Time Instructor Interest Form

Directions:  Please complete and click on SUBMIT

Important: Completion of this form does not substitute for completion of the Davidson County Community College Application for Employment form. Completing and submitting this Part-Time Instructor Interest Form will help us know what subjects you are interested in teaching. We will contact you for follow-up if it is determined that your teaching goals match the College’s needs. The information collected on this form will be kept confidential and used only to identify and follow up on your interest in teaching classes for DCCC in Continuing Education or Basic Skills.

All contact fields are required
 
First Name:
 
Last Name:
 
Address:
 
City:
 
State: 
 
Zip:
 
Phone Number (Day): (Example: 3361239999)
 
Phone Number (Evening): (Example: 3361239999)
 
Phone Number (cell): (Example: 3361239999)
 
E-mail Address: 
 
List all Degrees, Certifications, Licensure, or subject matter expertise/experience you have:

In what areas are you interested in teaching?

Health Care Public Safety
Computer Related Building/Construction Trades
Basic Skills/GED Other:

PERSONAL INTEREST/LEISURE COURSES YOU COULD TEACH: (examples:  pottery, dancing, photography, selling a home, etc.)


Are you fluent in any foreign languages?  yes no

Indicate languages:

In which location are you interested in teaching?
  Davidson County    Davie County     Either location

Have you ever taken and/or taught an on-line course?
no

yes

If yes, please list courses:

Have you ever taught a classroom-based course?
no

yes

If yes, please list courses:

When are you available to teach?  (check all that apply)
   daytime            evening         weekends

P.O. Box 1287 · Lexington, NC 27293
Davidson Campus 336.249.8186 · Davie Campus 336.751.2885
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