Technology Instructor Interest Form

2. Date of Application
   Date of Application

4. First Name*

5. Last Name*

7. Address1*

9. Address2

11. City*

12. Zip*

14. Email Address

15. Phone*

16. Alt Phone

18. Emergency Contact

19. Phone

20. Alt Phone

22. Are you at least 18 years old?*

    1. Yes
    2. No

24. I am interested in:

    Check all that apply
    
    

    1. One-time or occasional instruction
    2. Leading an instructional series (example: once or twice a week for a monthly series)
26. Available these days of the week:

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday

    1. Friday
    2. Saturday
    3. Sunday
27. Preferred times of day:

    1. Mornings
    2. Afternoons

    1. Evenings

29. Technology Skills:

    Please check boxes for all skills you are proficient at, and willing and able to teach others.
    
    

    1. Basic Computer Skills (mouse, keyboard, etc.)
    2. Microsoft Windows
    3. Apple/Mac
    4. Files and Folders (create, move, rename, delete)
    5. Internet Basics (searching, baic safety, etc.)
    6. Internet Safety (best practices, security, etc.)
    7. Email Basics (sign up, inbox, compose, re, fwd, etc.)
    8. MS Word Basics (open/new, edit, format, save)
    9. MS Excel Basics (create, format, simple calculations, etc.)

    1. MS Excel Advanced (formulas, pivot tables, functions)
    2. MS PowerPoint Basics (create, design, transitions, etc.)
    3. HTML/CSS
    4. Linux
    5. Coding (specify language(s) and proficiency below)
    6. AR/VR (specify interests/experience below)
    7. 3D Printing/Object Design (specify experience/interests below)
    8. Gaming (specify experience/interest below)
    9. Other (specify below)
31. Additonal technology skills not listed above or additional details about technology skills listed above:

33. Please indicate any and all relevant education, certification, or experience information here:

35. Please tell us briefly why you want to teach technology classes at the library:

37. Is there a specific technology or program idea that you are most interested in? Please describe your interest or idea below:

Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit Submit and Print

* indicates a required field