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CEM Faculty Application

    * Required Fields

    Contact Information

    First Name*

    Last Name*

    Designation(s)*

    Title*

    Company*

    Address*

    City/Town*

    State/Province*

    Zip/Postal Code*

    Country/Nation*

    Email*

    Educational Background

    School/University*

    Highest Degree Completed*

    Course of Study*

    Date Received CEM*

    Number of Years in Industry*

    Teaching/Presentation Experience

    Event One:*

    Date*

    Location*

    Session Title*

    Evaluation Scores*

    Event Two:*

    Date

    Location*

    Session Title*

    Evaluation Scores*

    Event Three:*

    Date*

    Location*

    Session Title*

    Evaluation Scores*

    If you would like to teach face-to-face and/or virtual courses courses, describe how you would prepare, deliver and evaluate a five-hour face-to-face CEM course utilizing experiential learning and adult learning theory.*

    If you would like to teach online courses, describe how you would prepare, deliver and evaluate a four-week online CEM course utilizing experiential learning and adult learning theory.

    Select courses you feel you are most qualified to teach.*
    To select more than one objective, hold the CTRL key and select your objectives.

    Required Supplemental Documents

    Biography*

    Resume*

    Reference Letter 1*

    Reference Letter 2*

    Reference Letter 3*

    Video on why you want to be part of the CEM Faculty community* - Provide link to video below.

    I certify that the information contained in this application is correct, and I will comply with all CEM Faculty requirements:

    Incomplete applications will not be accepted.

    Full Name*

    Date*