Please Complete This Application to Be Considered to Teach the Bergen Community Continuing

BERGEN COMMUNITY COLLEGE

Division of Continuing Education

Please complete this application if you would like to be considered as an instructor for the following courses. Please see accompanying flyer for additional information and course descriptions. Each course will meet for 15 hours, 5 three-hour sessions.

Overview of Disabilities and Related Legislation and Laws (foundation course)

The Learning Process: Enhancing Instructional Skills (foundation course)

Managing Behavior and Social Interactions for Learners with Disabilities (foundation course)

Overview of Children and Adults with Autism Spectrum Disorders (autism track)

Overview of Methodologies to Support Students and Adults on the Spectrum (autism track)

Behavioral and Social Skills Supports for Children and Adults with Autism (autism track)

Name:

Address:

Phone Number: (please identify as home, work or cell)

Email address:

Course/s that I would like to teach:

Degrees: (please note degree conferred) Bachelors Master Doctorate

List any State endorsed certifications:

List any professional affiliations:

Current Employer:

Position: Number of years in this position:

Describe your experience teaching adult learners: (use additional page if needed)

Describe your knowledge of the subject matter detailed in the course description/s: (use additional page if needed)

Indicate in a brief outline form how you would structure the course and topics that you would cover in the five 3-hour sessions. (use additional page if needed)

Do you feel there should be field experience with this/each course? If yes please describe the type of field experience and how you would structure it. (use additional page if needed)

What instructional material(s) will you need to teach this/each course? What introductory instructional materials would you recommend that we provide to students? (use additional page if needed)

Are there other materials that we should purchase as resources for these topics?

What is your availability to teach in our program? Evenings Saturdays Other

****Please note: Instructors may not endorse specific methodologies nor promote specific organizations (adult service providers, etc.), schools (public or private), etc.****

Please attach a resume to this application and return by August 1st. Please send to:

Ilene Kleinman

Director, Division of Continuing Education & Community Outreach

Bergen Community College

400 Paramus Road

Paramus, NJ 07652

A screening committee will review all applications. Questions? Comments? Please email . Foundation and specialty track courses are scheduled to begin January 2009.

Thank you for your participation and support!!