Prospective Instructor Skills Survey

* Name:

* Mailing Address:

* City:

* State:

* Zip:

* Work Phone:

* Home Phone:

* Email Address:

Training Experience
Please check the items below that you are qualified to teach based on your prior experience.

Academic Skills:

Accent Reduction
Basic Math Essentials
Basic Writing Skills
English as a Second Language
English Grammar and Writing
SAT Test Preparation
Other [Please Explain Below]

Allied Health:

CPR/First Aid Training
Healthcare Management
Human Anatomy and Physiology
Medical Billing and Coding
Medical Terminology Medical Insurance
Other [Please Explain Below]

Business & Financial Services:

Payroll
Income Taxes
Accounting Principles
Budgeting
QuickBooks
Other [Please Explain Below]

Career Development:

Strong Inventory Skills
Change Management
Goal Setting and Action Plans
Resume Writing
Interviewing
Other [Please Explain Below]

Computer Skills:

Microsoft Word
Microsoft Excel
Microsoft Access
Microsoft PowerPoint
Keyboarding
Website Development
Internet
Palm Basics
Network Security
Computer repair and updates
A+ Certification test preparation
MCSE training
QuickBooks
Other [Please Explain Below]

Customer Service:

Working with difficult customers
Telephone skills and etiquette
E-mail skills and etiquette
Working with diverse customers
Other [Please Explain Below]

Employee Development:

Effective listening skills
Public Speaking & Presentation Skills
Time Management
Stress Management
Conflict Resolution
Team Building
Diversity Training
Meeting/Event Planning
Business Writing
Train the Trainer
Other [Please Explain Below]

Religion:

Pastoring
Praise and Worship/Musical
Hermeneutics
New/Old Testament
Effective Ministry
Bible Study
Other [Please Explain Below]

Languages:

Chinese
French
German
Italian
Japanese
Russian
Spanish for Administrators
Spanish for Construction
Spanish for Customer Service
Spanish for Health Care Professionals
Other [Please Explain Below]

Management Skills:

Skills for New Supervisors
Coaching & Counseling Skills
Understanding Financial Statements
Delegating
Keeping Good Employees
Supervising Difficult Employees
Providing Effective Performance Evaluations
Interviewing, Hiring & Firing
Conflict Resolution
Other [Please Explain Below]

Non-Profit Management Skills:

Fundraising for Not-for-Profits
Grant Writing for Beginners
Managing Non-profit Organizations
Business Plan Writing for Non-profits
Other [Please Explain Below]

Do you regularly develop your own training materials?

If yes, please indicate the format that you have used:

Booklets/Manuals
Overhead
PowerPoint
Writing/Speaking
WEB CT/ Blackboard

Can you facilitate On-line classes?

Indicate your availability by placing a
check mark next to all that applies:

AM
PM
Weekends