Adjunct Instructor Interest Form

I. Contact Information

Last Name* First Name* Email* Phone*

Address

Street* City*    State* Please Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia West Virginia Wisconsin Wyoming Zip*

II. Teaching Experience and Interest

List courses you would be qualified to teach and program under interests. (Find courses under "Public and Environmental Affairs" on the IU Academic Bulletins site and Washington,D.C., Accelerator Program.)

List your degrees, certificates and/or professional experience relevant to the courses listed above.

List your experience teaching and/or training:

Do you prefer teaching face-to-face or online? Face-to-face Online No preference

III. Cover Letter* (Upload your cover letter)

IV. Resume* (Upload your resume or CV)

We are also seeking an adjunct instructor for our Washington, D.C., Accelerator Program. To be considered, please provide the names and contact information for three persons who could provide letters of recommendation.

V. Pledge

I hereby certify that I have completed this request to the best of my ability and in truth.*

Submissions without a cover letter and CV/resume will not be considered.

* Indicates a required field.