Volunteer Instructor Application
  Instructions:
  Please complete the following form.  Then press the submit button below:  
 
1.  Your full name:  		 
 


 
  2.  Address:  
 


   

 
  3.  Day Time Phone Number:  
 


 
  4.  FAX Number:  
 


 
  5.   Your email address:

  
  6.  Emergency Phone Number:  
 

 
  7.  Class Title:  
 

 
  8.  Class Details (skill levels, overview of the class teaching theory, etc.):  
 

 
  9.  Length of class (i.e., 30 minutes, 1 hour, 3 hours, 8 hours):  
 


 
  10.  How long will your class run (i.e., 1 day, 1 week, 6 weeks, 1 year):  
 


 
 

Instructor Background Information

  
     
  How Long have you been doing the skills to teach this class?

Any Education or training you have taken to teach this class:

Days & Times of the week you can teach:

What type of facility, room, or space do you need?

What equipment do you need?

Do you need supplies? (list if per student or overall class)

Please be advised that instructors may need to have a background clearance and or a TB test.  This depends on the classes being taught.  Army pays all fees and charges. Child and Youth Services training may be required at the expense of Child and Youth Services.
 

  

Press the Submit Button -->

    

For more information about SKIES, contact Youth Education Support Services at 655-2413.

 

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