Veti Instructor Application

VICTORY EDUCATION & TRAINING INSTITUTE

INSTRUCTOR APPLICATION Date: ________________ 1. Name (please print clearly): ______________________________________________________________________ 2. Complete Address: ____________________________________________________________________________ 3. Telephone: ______________________________Cell:________________________________________________ 4. Fax: ___________________________________ E-mail:______________________________________________ 5. Social Security #: ________-______-_________ Date of Birth: _______/_______/______ Age: _______________ 6. Are you a licensed minister with Victory Outreach International? YES/NO. If yes, since when? _________________ 7. Are you a licensed minister with another ministry? YES/NO. If yes, what ministry? How long? _________________ EDUCATION 8. College/University: _________________________ Dates Attended: _____________________________________ 9. Graduation Date: ___________________________ Degree Title: _______________________________________ 10. I have a: (please check all that apply to you). Please include a copy of each certificate or degree with this application. ___Bachelors ___Masters ___Doctorate ___Minister’s License ___Evangelist License ___Reverend License ___Ministerial Studies Diploma ___V.E.T.I. Religious Studies Certificate ___Christian Recovery Home Certificate ___CWC, ___CMD, ___ITC, ___ or RLT Certificate 11. Have you taught at any of our schools previously? YES / NO. If yes, where? ______________________________ 13. What is your area of specialty? __________________________________________________________________ 14. What is your teaching experience? _______________________________________________________________ 15. What courses are you interested in teaching? _______________________________________________________ 16. What book(s) do you use in this course? ___________________________________________________________ 17. From 1 to 10, how good are you working with a computer? ____________________________________________ 18. Are you able to develop a syllabus on your own? YES/NO. Have you used a syllabus in the past? YES/NO. 19. How are you involved in your local church? ________________________________________________________ 20. What V.E.T.I. extension would like to teach in? _____________________________________________________ 21. What languages are you proficient and literate in? ____________________________________________________ 22. If accepted, I agree to commit to teach 7-weeks online, 10-weeks, 5-weeks, and/or an Intensive course. I will also abide to the guidelines of Victory Education & Training Institute. Circle one: I agree. I do not agree. 23. Applicant’s Signature: ______________________________________________________Date:_______________ 24. Applicants Pastor’s Name: _________________________Signature:__________________Date:______________ 25. Regional Pastor’s Name: __________________________ Signature: __________________Date:______________

26. Please include a copy of your resume with this application. Please include at least one letter of recommendation from your local or regional pastor. The signatures above indicate an endorsement and approval of the above named to teach at a V.E.T.I. Extension. Should, at any juncture, the endorsement change; notify the V.E.T.I. administration immediately at 909-599-4437. Complete form, include all documents and mail to: V.E.T.I. Attn. Instructor Application Division. P.O. BOX 835 San Dimas, Ca. 91773 or fax to: 909-592-4569. Incomplete applications will not be accepted.