IAU| APPLICATION FOR INSTRUCTORS

This APPLICATION FOR INSTRUCTORS is a Microsoft Word form. Do not hand-write on the form. Please type the information in the data fields for legibility. Once completed, initial at the bottom, save, then email it back to IAU with any supporting documents. Please email a soft copy professional resume with your application.

  1. PERSONAL INFORMATION

First Name / Middle Name / Last Name
Date Of Birth (mm/dd/yy)
- Month - JanFebMarAprMayJunJulAugSepOctNovDec/ / - Year -1920 / Social Security Number
Street Address / Apt. / Ste. / City / State / Postal Code
Tel / Email
Are you a U.S. citizen, or are you otherwise authorized to work in the U.S. without any restriction? Yes No
Do you have reliable transportation to work? Yes No
I am available to teach (check all that apply): 100% online L.A. Main Campus Buena Park Satellite Campus
  1. EDUCATIONAL EXPERIENCE

Please provide evidence ofany certificates, diplomas, or degrees you may have earned.
Degree / School, College, or University / Major/Minor / Year Awarded
  1. OTHER DOCUMENTABLE COURSEWORK OR TRAINING

Please provide evidence of any certificates, diplomas, certifications, or licensure you may have earned.
Name of Workshop, Certificate, or Training Program / Organization, Company, Presenter, Licensing Agency / Year Awarded
  1. PROFESSIONAL EXPERIENCE

Please provide evidence of any offer letters, reference letters, or evidence of employment.
Company / Position Held / General Responsibilities / Years Employed
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  1. TEACHING EXPERIENCE

Please provide evidence of any offer letters, reference letters, or evidence of employment.
School, College, or University / Subjects/Courses / YearsEmployed
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  1. LIST OF PUBLICATIONS OR PRESENTATIONS

  1. LIST PROFESSIONAL AFFILIATIONS AND MEMBERSHIPS

Years ofMembership
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  1. COURSES REQUESTING TO INSTRUCT (List specific course codesor general subject areas from IAU’s current course offerings

  1. PERSONAL STATEMENT: Briefly explain how your academic background and professional experience add value to each course you are requesting to teach. What contributions would you bring to programs at IAU?

I understand that electronically typing my name in this document is considered to be the same legally-binding effect as signing my signature using pen and paper.

Initial Date

Equal Employment Opportunity: While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. This information is optional and failure to provide it will have no affect on your application for employment.

3440 WILSHIRE BLVD., 10TH FLOOR, STE 1000 | LOS ANGELES, CA 90010 | TEL: .213. 262-3939 | FAX: 213.262.5758 |