Instructor Trainer Application Form

Instructor Trainer Applications Require:

Letter of recommendation from the supervising ITE of your lead-teach IDW/ICE or ICW
Letter of recommendation from a currently certified Instructor or IT/E in the appropriate discipline
Letter of recommendation from a currently certified Instructor or IT/E in any discipline
Your lead-teach IDW/ICE or ICW course outline, agenda, or schedule
Your IDW/ICE or ICW pre-course communication (course welcome letter, email, pre-course homework packet, etc. that you used to communicate with candidates prior to the start of your course)
The candidate evaluations from each candidate from your lead-teach course. These can be found and exported using the “Completed Candidate Evaluations” tab within the CMS.
The course evaluations completed by each of the participants in your lead-teach course. These can be found and exported using the “Course Evaluations – Lead” tab within the CMS.

Additional Notes:

Review the SEIC Policy Manual for full policies in effect at the time of your IT application.
The IT Candidate shall be ultimately responsible for full compliance with SEIC Policies and Procedures.
Upon becoming an Instructor Trainer, annual SEIC dues are $110 per year.

Instructor Trainer (IT) Application Form

This form is to be completed by the Instructor Trainer Candidate, and it must include all the required attachments as described on this application criteria webpage.

First Name(Required)

Last Name(Required)

Email Address(Required)

ACA Membership Number(Required)

Level & Discipline of this IT Application(Required)

Dates of Co-Teach IDW/ICE or lCW(Required)

Dates of Lead-Teach IDW/ICE or lCW(Required)

Name of Lead-Teach ITE Mentor(Required)

Other Relevant Certifications or Accomplishments

If you have additional certifications, credentials, or experience relevant to this application, please list those items here.

Recommendation Letter From ITE Mentor(Required)

Max. file size: 40 MB.

Recommendation Letter From Instructor or Instructor Trainer in the Appropriate Discipline(Required)

Max. file size: 40 MB.

Recommendation Letter From ACA Instructor or Instructor Trainer(Required)

Max. file size: 40 MB.

Are you already an IT and are upgrading/crossing disciplines under SEIC Policy Manual Chapter 3.C.11 ?(Required)

Yes

IDW/ICE or ICW Course Outline / Agenda(Required)

Max. file size: 40 MB.

Please upload the course outline, agenda, or schedule you used for your course.

IDW/ICE or ICW Pre-Course Communications(Required)

Max. file size: 40 MB.

Please upload a copy of your course welcome letter, email, pre-course homework packet, etc. that you used to communicate with candidates prior to the start of your course.

Candidate Evaluations(Required)

Max. file size: 40 MB.

Please upload the evaluations from each candidate from your course. These can be found and exported using the "Completed Candidate Evaluations" tab within the CMS.

Course Evaluations(Required)

Max. file size: 40 MB.

Please upload the evaluations completed by each of the participants in your course. These can be found and exported using the "Course Evaluations - Lead" tab within the CMS.