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CALL FOR INSTRUCTORS FORM
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INSTRUCTOR INFORMATION
Name
*
Your answer
Company Name
*
Your answer
Address
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Your answer
Phone number
Your answer
Email Address
*
Your answer
Company Website
*
Your answer
I am willing to travel to deliver training courses.
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Yes
No
I am fluent in the following languages (check all that apply):
*
English
Spanish
French
Itallian
Hindi
Other
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Please list the title of all lectures/courses that you have created/taught and would be interested in teaching (including any CEDIA Training you have taught).
Your answer
Have you received formal training as an instructor or teacher.
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Yes
No
If yes, please provide details on this training (If not applicable, please type N/A).
Your answer
Please specify your proposed course topic & description (max 50 words).
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Your answer
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