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DEMA ADJUNCT INSTRUCTOR PROGRAM (Arizona)

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Douglas A. Ducey
GOVERNOR
STATE OF ARIZONA
DEPARTMENT OF EMERGENCY AND MILITARY AFFAIRS
EMERGENCY MANAGEMENT TRAINING BRANCH
5636 East McDowell Road, Building M5101, Phoenix, Arizona 85008-3495
(602) 464-6225 FAX: (602) 464-6206
Major General Michael T. McGuire
THE ADJUTANT GENERAL
DEMA ADJUNCT INSTRUCTOR PROGRAM
The Arizona Department of Emergency and Military Affairs (DEMA), Emergency Management Training Branch
appreciates your interest in becoming an Adjunct Instructor for our state-delivered programs. Successful candidates—
both new and returning—will become part of our cadre of instructors who will assist in providing training and exercise
services in support of emergency management and hazardous materials programs delivered throughout the state.
Considerations will be based on the current needs of our agency to provide instructors in support of training as
requested by our state and local partners, as well as the need for local agencies to authorize their own personnel in
order to provide DEMA/FEMA sponsored training within their agency. Requests to join our cadre that do not fall into
one of these categories will be considered on a case-by-case basis.
Full Adjunct Instructors. These instructors will be authorized to deliver FEMA programs on behalf of DEMA under
contract with our training office. Due to conflicts of interest, current State employees are not eligible for contract
compensation, but may agree to teach on their agency’s time. Instructors must pre-qualify for specific tracks of
instruction, and will then be added to a “qualified bidder list” to receive solicitations on available training opportunities.
Instructors will receive compensation for their time, along with travel expenses at state rates. Full Adjunct Instructors
serve at the discretion of DEMA, and must also follow the provisions of “Local Agency Adjunct Instructor” below when
teaching for, or on behalf of their agency.
Local Agency Adjunct Instructors. These instructors will be authorized to deliver FEMA programs on behalf of their
own agency, to personnel within their agency. Under this status, instructors must pre-qualify for specific tracks of
instruction, and will then be considered a Local Agency Adjunct Instructor, limiting them to instructing for, or on behalf
of their agency those programs for which they have qualified. Local Agency Adjunct Instructors will not receive any
compensation or course materials from DEMA, as they should be instructing on their agency’s time at their agency’s
expense. DEMA will provide a means of registration and certificates for classes taught by Local Agency Adjunct
Instructors that deliver training programs in accordance with our DEMA Training Standards. This program also helps
DEMA avoid any potential conflicts of interest per funding agreements and state and federal regulations.
If selected, new applicants will be required to attend an initial interview with our training staff; and new and returning
applicants will be required to attend an Authorization Workshop. The workshop will include information on our
agency’s training standards, financial compensation and contracts (if applicable), training liability, and our online
registration system. Participants will be required to attend on their own time, and at their own travel expense, and
locations may vary throughout the state depending on the geographic make-up of the instructors. Adjunct Instructors
will also complete a re-authorization process every two years, or on a schedule prescribed by DEMA.
Completion of this application is required for both new and returning applicants in order to be considered for any
instructor openings for which they may qualify. Within 30 days of DEMA receiving a completed packet, applicants will
receive notice as to whether they will be invited to take the next steps.
The application consists of a General Instructor Application that must be completed by all candidates, and also
includes attachments for various tracks of instruction. Applicants must submit the General Instructor Application and
at least ONE of the attachments for a specific track of instruction in order to be considered. Applicants that have not
fulfilled all requirements of a particular track of instruction may apply, and may be selected to join our team, but will
not be able to begin instructing selected programs until all requirements have been met.
Submit all required documentation to:
Arizona Department of Emergency and Military Affairs Phone: 602-464-6225
Emergency Management Training Branch Fax: 602-646-6206
5636 E. McDowell Road, Building 5101 Email: training@azdema.gov
Phoenix, AZ 85008
Please direct any questions to Vanessa Moreno, 602-464-6306 or Vanessa.moreno@azdema.gov.
Katherine S. Hassett
Training Branch Manager
Applicant First Name: Applicant Last Name:
Instructor Category applicant is applying for – Refer to Program Overview for more information. Check one or both.
Full Adjunct Instructor. Provides FEMA training throughout Arizona as required by DEMA
Agency Adjunct Instructor. Provides DEMA/FEMA training on behalf of their agency
NOTE: All applicants should also apply as Agency Adjunct Instructors if teaching for their agency
Track(s) applicant is applying for:
Incident Command System
Community Emergency Response Teams (CERT)
Hazardous Materials Response
Mass Care, Housing and Human Services
Public Information, External Affairs
School Safety
Recovery and Mitigation
All Hazards Incident Management Teams
Continuity of Operations
Weather/National Weather Service
General Emergency Management
All Hazards Communications
Homeland Security Exercise and Evaluation Program; Exercise Support
COVER SHEET
Arizona Department of Emergency and Military Affairs
Adjunct Instructor Application
Arizona Department of
Emergency and Military
Affairs
Adjunct Instructor General Application
Cover Sheet
Date submitted to DEMA:
INSTRUCTIONS
Arizona Department of Emergency and Military Affairs
Adjunct Instructor Application
Be sure to complete all elements of this packet, and submit the pages and attachments in the order
requested below:
1) Cover Sheet.
a. Type or print your name on the cover sheet
b. Check whether you’re applying for Full Adjunct Instructor, or Local Agency Adjunct Instructor. Full
Adjunct instructors teach for DEMA under contract. Local Agency Adjunct Instructors teach on
behalf of their agency with no compensation from DEMA. Full Adjunct Instructor applicants
should also complete the Local Agency Adjunct Instructor application if there is any
possibility of teaching on behalf of their agency.
c. Check the boxes for the tracks of instructions you’re applying for, and be sure to include the
relevant attachments and requested documents with your application.
2) General Instructor Requirements. This portion of the application is required for all applicants. It lists
the general requirements for all instructors, regardless of which track you’re applying for. Include all
requested documentation in the order provided.
a. Pages 1 and 2 are required by all.
b. Page 3 is required for those applying for Local Agency Adjunct Instructor status, and for those
applying for Full Adjunct Instructor status who may be teaching on behalf of their agency.
c. Page 4 is only required for current State of Arizona employees.
d. Resume/Bio should detail adult learning and general experience in emergency response.
e. Letter of recommendation should address general instructing abilities.
f. Certificates. Should be the most current versions of the Independent Study programs.
g. Additional Documentation. Provide anything else you feel is relevant to you role as an adult
educator.
3) Attachments for Track-Specific programs. Each attachment list all of the programs we deliver to our
emergency services community, along with the requirements instructors must complete to teach within
the respective track. This is where you must include at least ONE primary track of instruction. Include
all requested documentation in the order provided.
a. Cover sheet for that track
b. A short biography detailing your experience in this track/subject. Include all elements requested. If
only applying for a single track, you can include this in your General Instructor resume and bio.
Otherwise, include separate bios for each track.
c. A Letter of Recommendation from your employer or team leader detailing your experience in this
track/subject. If you’re not currently employed, the letter should be from someone in the applicable
industry or the emergency response community whom you’ve worked with. If only applying for a
single track, you can include this in your General Instructor Letter of Recommendation. Otherwise,
include separate letters for each track.
d. Certificates. Each track has its own course requirements in addition to the General Instructor
requirements. Be sure to provide all that’s requested. If you have not yet completed the required
programs, you may still submit your packet, and we will consider your experience in determining
your eligibility to instruct.
4) Repeat #3 for each Track you’re applying for.
5) Mail, fax or scan/email your completed packet to the address on the overview letter.
PAGE 1 – GENERAL INSTRUCTOR REQUIREMENTS
Arizona Department of Emergency and Military Affairs
Adjunct Instructor Application
** REQUIRED FOR ALL APPLICANTS **
Applicant First Name:
Applicant Last Name:
This section includes the general requirements for all instructors who wish to join our cadre. Please
indicate that all of these elements are included in the application packet by checking off the squares below.
Applicants must also complete an attachment for each specific program they’re applying for (Hazardous
Materials, Incident Command, Public Information, etc).
Required Documents (please submit your package in this order):
Cover Sheet – DEMA Adjunct Instructor Application Packet
Page 1 – General Instructor Requirements
Page 2 – Applicant Information Sheet
Page 3 – Local Agency Adjunct Instructor Authorization
Page 4 – State Employee Certification – **Complete only if you’re a current STATE employee**
Resume describing your background and experience in emergency response, as well as your
experience as an instructor of adult-level courses.
Letter of Recommendation from your employer, vouching for your experience and qualifications as an
adult educator. NOTE: Each specific track of instruction requires a separate recommendation (see attach).
Certificates of Completion for the most current version of following FEMA classes.
Note: These classes can be completed at www.training.fema.gov/IS. All certificates must be the most
current version of the indicated course, and must have been completed within the past 10 years.
IS-100 - Introduction to the Incident Command System
IS-200 - Incident Command System for Single Resources & Initial Action Incidents
IS-700 - National Incident Management System, An Introduction
IS-800 - National Response Framework, An Introduction
Additional Documents - Highly Desired:
Proof of completion of an adult teaching methodology course, or other experience as an adult educator
Bachelor’s Degree in a related field
Other emergency response certifications (i.e., CEM
®
, PDS, APS, etc.)
Attachments for Specific Tracks of Instruction: ATTACH along with all requested documentation.
Incident Command System
Community Emergency Response Teams (CERT)
Hazardous Materials Response
Mass Care, Housing and Human Services
Public Information, External Affairs
School Safety
Recovery and Mitigation
All Hazards Incident Management Teams
Continuity of Operations
All Hazards Communications
Homeland Security Exercise and Evaluation Program; Exercise Support
PAGE 2 - APPLICANT INFORMATION
Arizona Department of Emergency and Military Affairs
Adjunct Instructor Application
** REQUIRED FOR ALL APPLICANTS **
Personal Information (please check your preferred contact method)
First Name
Last Name
User ID (DEMA Use Only)
Home Street Address
City
State
Postal Code
Home Phone
Cell Phone
Fax
Personal Email (optional):
Employment Information (please check your preferred contact method)
Agency
Position/Title
Agency Street Address
City
State
Postal Code
Office Phone
Cell Phone
Fax
Agency Email:
Affiliations. Do you have an Emergency Services Agency affiliation? No | If “Yes”, check below:
I am currently employed by an Emergency Services Agency (same as above, skip to next question)
I was formerly employed by an Emergency Services Agency (list agency below)
I am/was not employed by an Emergency Services Agency, but have an affiliation (list agency below)
Organization:
Your Position/Title/Role:
Do you have a Tribal affiliation? Yes | No
If “Yes”, name of Tribe:
Position/Title/Role/Relationship:
Do you offer training or consulting services through a private business? Yes | No
If “Yes”, name of company:
Objective. What is your motivation for becoming an Adjunct Instructor with our division?
Local Agency Adjunct Instructor. Provides DEMA/FEMA sponsored training within their own agency.
Full Adjunct Instructor. Provides FEMA training throughout Arizona as required by DEMA.
NOTE: Should also apply as Local Agency Adjunct Instructors if teaching for their agency
Your agency POC that has asked you to instruct:
Their phone number:
Their email address:
Other reason for wanting to join our instructor cadre:
BRIEF reason. You may give a more detailed reason in your resume/bio:
PAGE 3 – LOCAL AGENCY ADJUNCT INSTRUCTOR AUTHORIZATION
Arizona Department of Emergency and Military Affairs
Adjunct Instructor Application
** APPLICANTS FOR LOCAL AGENCY ADJUNCT INSTRUCTOR **
Complete this form if you are applying to instruct DEMA/FEMA approved programs for,
or on behalf of your agency.
Due to conflicts of interest, I understand that my services as a Local Agency Adjunct Instructor for my
agency will be conducted at my agency’s expense. I understand that I will receive no compensation from
DEMA for any programs delivered as a Local Agency Adjunct Instructor for DEMA/FEMA approved
courses. This includes (but is not limited to) instructing fees, travel, books and supplies, and facility rentals.
I understand that being a Local Agency Adjunct Instructor for my agency authorizes me to provide no-cost
training only to members of my agency, or to other agencies on behalf of my agency at no cost. I shall not
use my status as a DEMA instructor to advertise or promote services for commercial benefit concerning
DEMA sponsored programs, I also understand that in order to receive State Certificates (“FEMA Credit”) for
training programs, all courses shall:
Be coordinated through the DEMA Event Request process (forwarded through the County or Tribal
emergency management office for coordination);
Be managed through the Event Registration and Management Application (ERMA – the online system
that generates certificates of completion);
Have all students registered in ERMA prior to the start of the class;
Be conducted in accordance with the curriculum guidelines (instructor/student ratio, curriculum hours,
appropriate exercises and course materials);
Have course documentation turned in to the DEMA training coordinator immediately following the class.
Completion certificates will be available once DEMA receives the documentation (signed rosters, tests
(where applicable), evaluations);
I will immediately notify DEMA if there is any change in my employment status that affects my standing as
a Local Agency Adjunct Instructor.
Applicant Acknowledgement
First Name
Last Name
Position/Title
State Agency or University at which you are currently employed
I understand the conditions above, and, schedule permitting, agree to instruct DEMA/FEMA sponsored programs on behalf of my agency in
accordance with the provision outlined by DEMA. I will not seek compensation from DEMA or other entities for delivery of these programs.
Signature
Date
Agency Sponsor Acknowledgement (Department Head/Training Manager/Supervisor)
First Name
Last Name
Position/Title
I understand the conditions above, and, schedule permitting, approve of this individual to instruct DEMA/FEMA sponsored programs on behalf of
our agency, with standard compensation provided through our agency.
Signature
Date
PAGE 4 – STATE EMPLOYEE CERTIFICATION
Arizona Department of Emergency and Military Affairs
Adjunct Instructor Application
** CURRENT STATE OF ARIZONA EMPLOYEES ONLY **
Complete this form if you are a current employee of the State of Arizona, to include
National Guard or Reserves, or a reservist for the State.
As a current State employee, due to conflicts of interest, I understand that the Arizona Department of
Emergency and Military Affairs (DEMA) is not permitted to engage in State contracts with State employees,
and my services as an Adjunct Instructor when providing DEMA training programs will be conducted at my
agency’s expense. I understand that I will receive no additional compensation, other than my normal rate of
pay received from my employing Agency/University. However, my agency may seek reimbursement for my
travel expenses at current state rates (with prior coordination). I will immediately notify DEMA if there is any
change in my State employment status.
State Employee Acknowledgement
First Name
Last Name
Position/Title
State Agency or University at which you are currently employed
Signature
Date
Supervisor Acknowledgement
First Name
Last Name
Position/Title
I understand the conditions above, and, schedule permitting, approve of this individual to instruct programs for the Arizona Department of
Emergency and Military Affairs with standard compensation provided through our agency.
Signature
Date
Applicant’s Human Resource Department Acknowledgement
First Name
Last Name
Position/Title
I understand the conditions above, and, schedule permitting, approve of this individual to instruct programs for the Arizona Department of
Emergency and Military Affairs with standard compensation provided through our agency.
Signature
Date
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Completed 12 August 2020

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