Online Educational Interest & Work Experience Credentials Form

BAKER COLLEGE ONLINE EDUCATIONAL INTEREST & WORK EXPERIENCE CREDENTIALS FORM

First Name: Last Name:
Street Address: City:
State: Zip Code:
Home Phone: Work Phone:
E-mail Address:    

DEGREES AWARDED
MAJOR/MINOR
COLLEGE/UNIVERSITY

Please identify which department(s) you are interested in teaching. (You can specify the specific courses in another section.)

Undergraduate

Business Administration
Developmental Education
General Education
Health
Information Systems, Criminal Justice
Nursing (RN License & MSN, DNP, or PhD in Related Field Required)
Psychology

Graduate

Yes, I have earned my PhD, EdD, and/or DBA and listed it above.
Master of Business Administration
Master of Occupational Therapy
Master of Science in Information Systems
Master of Science in I/O Psychology
Doctorate of Business Administration

Please identify the specific courses that you would LIKE to teach at Baker College and note what level, graduate or undergraduate. You can find a list of courses that we offer by going to http://online.baker.edu under Programs List.

Please identify courses/course field areas that you have taught for institutions other than Baker College. (Make sure to indicate level of instruction.)

Please list all experiences that may be relevant to courses you would like to teach or currently teach such as: CEU's EARNED, CERTIFICATIONS RECEIVED, CURRENT CAREER FIELD, TECHNICAL BACKGROUND, ETC.

Please upload your resume, using the naming convention firstname_lastname, for review. It may be submitted in the following formats: .doc, .txt, .html, .htm, .rtf, or .pdf.

The Baker College System
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