LFCC Workforce Solutions Instructor Information Form Step 1 of 5 - Your Basic Information 0% Instructions: This information will be used set up your instructor profile. Please provide all information requested. Please note that you will be asked to upload a digital copy of your current resume and a digital photograph of yourself (if available) at the end of this form, so please have these on hand. If you have any questions please contact the Workforce Solutions Registration team at 540-868-7021.Your Basic InformationName* First Last Email* Phone Numbers*Phone NumberType (Home, Work, Mobile, etc) Please add your phone numbers and type (for example, "Home" or "Mobile"). Click the plus sign to add more than one. Please make your preferred phone number the first option listed. Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Gender*MaleFemaleBirthdate Highest Educational Level Obtained*GEDHigh School DiplomaSpecialized CertificateAssociates DegreeBachelors DegreeMasters DegreeDoctorateSpecial Subject-Related Certifications / Licensures Click the plus sign to add more than one. Your Employer's InformationEmployer's Name*Job Title / Function*Employer Type*AutomobileComputerConstruction / Industry TradesEducation K-12Education - Post SecondaryFood IndustryHealthcareManufacturingService IndustryTourism / HospitalityWarehousing Contact PreferencesMy preferred method of being contacted is:*EmailPhoneIf we need to cancel a class or make a change and we need to contact you quickly during the day, is it best to:*Give them your email address and direct them to contact you.Give them your phone number and direct them to contact you.Request their contact information and tell them you will call them back.If we need to cancel a class or make a change and we need to contact you quickly during the day, is it best to:*Send you an emailCall you on your mobile phoneCall you on your home phoneCall you on your work phone Information for Internet BioWhat year (approximately) did you begin working in the field in which you teach?*What year did you begin teaching?*What year did you begin teaching for LFCC Workforce Solutions?Have you received any special awards, recognitions, or certificates in the field in which you teach? If so, please list. Any other relevant information you would share with your students that would enhance your ability, credibility, or knowledge? File UploadsPlease select a most recent copy of your resume to include with this form submission.*Accepted file types: jpg, gif, png, pdf, doc, docx, ppt, pptx, xls, xlsx, txt, pages, ai.File formats accepted include PDF, Word (Doc, Docx), Txt, and JPEG files. Maximum file size of 2MB allowed.Do you have a digital picture on file that you would like to include with this form submission?*YesNo, I will submit one later to firstname.lastname@example.org.Please select a digital photograph of yourself to include with this form submission.Accepted file types: jpg, gif, png, pdf, doc, docx, ppt, pptx, xls, xlsx, txt, pages, ai, tiff, tif, psd, bmp.File formats accepted include JPEG, PNG, GIF, BMP and PSD. Maximum file size of 2MB allowed.