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Illinois Central College
Adjunct Faculty Application for Employment

Section I: Personal Data
Name:              
First Middle Last  
Address:
  
Number Street  
City State Zip  
Phone:
              
Home ( ) Office ( ) Email  

Section II: Education
     Note: format "from", "to" and "date" dates - mm/yyyy
  School From To
Credits Earned
Diploma/Degree
 Date  

Secondary
 
Undergraduate Work
 
Undergraduate Work
(previous if applicable)
 
Graduate Work
 
Graduate Work
(previous if applicable)
 

Section III: Teaching Experience - complete all that apply.
     Note: format "from" and "to" dates - mm/yyyy
     Note: "1." = last or current experience; "2." = previous experience
 
No. of Yrs.
 Institution Name Location Subjects From To  
High School
 
1. Community College
 
2. Community College
 
1. College or University
 
2. College or University
 
               
Job Experience Other
Than Teaching:
 (State briefly each job, your role, and the nature of your duties and responsibilities)  
 

Section IV: Availability - check all that apply
  Morning Classes Afternoon Classes Evening Classes Weekend Classes  
               
  Additional Comments (please indicate times and days available and/or preferred)

    
     
     

Section V: Areas in which you are qualified to teach - check up to three
         
Agricultural & Industrial Technologies   English   Health Careers & Public Services
Agriculture   English   Business and Industrial Security
Auto/Diesel/CAT/GM-ASEP   Foreign Language   Crime Scene Technology
Computer-Aided Design   Interpreter Preparation   Dental Hygiene
Culinary Arts   Journalism   EMT
Diesel Powered Equipment Technician   Literature   Fire Science Technology
Electronics       Law Enforcement/Criminal Justice
Family and Consumer Science   Arts & Communication   Medical Coder
Graphic Arts   Architecture   Medical Lab Technician
Heating/Ventilation/AC/Refrigeration   Art   Medical Office Assistant
Horticulture/Landscape   Dance   Medical Transcriptionist
Manufacturing   Graphic Design   Nursing
Mechanical Design   Interior Design   Nurse Assistant
Skilled Trades (Industrial Electronics,   MultiMedia   Occupational Therapy Assistant
         Maintenance Mechanic, Tool Makers)   Music   Perioperative Principles - Nurses
Welding   Mass Communications   Phlebotomy
    Speech/Theatre   Physical Therapist Assistant
Basic Studies       Practical Nursing
English as a Second Language   Social Sciences   Surgical Technology
GED   Child Development   Radiography
Reading   Economics   Respiratory Therapist
Study Skills   Education    
    Geography   Math, Science, & Engineering
Business & Information Systems   History   Biology
Accounting   Philosophy   Chemistry
Business Administration   Political Science   Earth Science
Computer Science/Data Processing   Psychology   Engineering
Office Skills   Sociology   Environmental Science
Paralegal   Human Services   Mathematics
Banking       Physics
Real Estate   Physical Education & Fitness        
Business Law            
Networking   Note: You may check more than the limit of 3 for these workshops
Programming - Language:   Community Education   Professional Development Institute
    Youth Programs     Information Technology Training
Database   ACT Review     Professional Development Training
Unix/Linux   Community Education Programs   Industrial/Technical Training
MS Office   (hobby/leisure, basic computers, etc)   Truck Driving Training
               
Certifications that you have relating to the courses above:            
  A+            
  MCSE            
  CCNA            
  CCNP            
               
Field of Specialization:   Undergraduate     Graduate  
 
Major Field
    
 
Minor Field
    
     
  Illinois Central College, an equal opportunity/affirmative action employer, complies with applicable federal and state laws prohibiting discrimination, including Title IX of the Education Amendments of 1972. It is the policy of the college that no person, on the basis of race, color, religion, sex, sexual orientation, national origin, age, handicap or veteran's status, shall be discriminated against in employment, in educational programs and activities, or in admissions. Inquiries or complaints may be addressed to Employee Services, Illinois Central College, One College Drive, East Peoria, Illinois 61635, (309) 694-5720.  
 

 

Thank you for submitting your application to the adjunct faculty applicant database at Illinois Central College. The information contained in this application will be routed to the appropriate Associate Dean(s) for review. This information will remain on file for two years. If your application information needs to be revised or updated, please contact Employee Services at 309-694-5720.
 

 
 
 


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