Continu
ing Education Center
Illinois Valley Community College
815 N. Orlando Smith Road
Oglesby, Illinois 61348
Application Form for Non-Credit Instructor (type or print legibly)
Full Legal Name: _______________________________________________________________________
Mailing Address: _______________________________ City ____________ State _____ Zip __________
Home Phone: __________________________________ Cell Phone _____________________________
Work Phone: __________________________ Email Address: ___________________________________
Work Experience (last five years, begin with most recent)
Dates
Name & Location of Employer
Nature of Work Duties
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Education (include specialty training, high school, college, or vocational training)
School & Location Dates Degrees, if any Major or content of training
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Professional, social, volunteer groups and societies you belong to
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