NCIT Instructor Application
Name:
Title:
Agency:
Address:
Street: Suite: City: State/Province: Zip/Postal Code: Phone: Fax: E-mail:
Why do you want to become an NCIT instructor?
List your prior related teaching experience:
Title: Date: Location:
List any course work you have undertaken that is relevant to the program:
Course title: Date: Location:
Below, please list contact information for two (2) individuals familiar with your teaching ability:
Attach a copy of your current resume or fax it to the NCIT Program Coordinator at (859) 231-1943.
