Personal Contact Information
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First Name is a required field! |
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Last Name is a required field! |
| * | | Please include Street Address, City, State, ZipHome Address is a required field! |
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Home Phone is a required field! |
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Cell Phone is a required field! |
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Email is a required field! |
Work Information
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Company is a required field! |
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Title is a required field! |
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Address is a required field! |
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Work Phone is a required field! |
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Fax is a required field! |
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Email is a required field! |
Professional References Please provide three professional references to support your professional and teaching experience.
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| * | | Please provide reference name, title, relationship, company, address, phone number1. is a required field! |
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2. is a required field! |
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3. is a required field! |
Education/Certifications
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Highest Level of Education is a required field! |
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Field of Study is a required field! |
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School Name is a required field! |
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Year is a required field! |
| * | | Association, Certification & YearPlease list all certifications that you hold is a required field! |
Awards/Publications/Associations
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Please list all professional awards that you received (please specify) is a required field! |
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Have you authored any publications/articles? If yes, please provide publication title and publish date. is a required field! |
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Teaching Experience
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Do you currently teach at a College/University? is a required field! |
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If yes, please indicate: College/University and Department Name is a required field! |
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Please list course topics & year taught is a required field! |
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Please indicate other teaching experience is a required field! |
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Are you bilingual? is a required field! |
| * | | Please check all that applyAre you available to teach is a required field! |
| * | | Please check all that applyPlease specify the campusus you are available to teach at is a required field! |
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In addition to training, are you also available for consulting work? is a required field! |
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If yes, in what areas? is a required field! |
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What industries do you have primary experience working with? is a required field! |
| * | | Please check all that applyIndicate which employee level you feel you are most effective working with? is a required field! |
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Additional information you would like to add is a required field! |
| * | | I authorize CSU San Marcos to request information about my professional teaching or work related experience.To grant acceptance of the statement below, please give your full name and date is a required field! |
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