1) Below Is the CLASS DURATION Information

1) Below Is the CLASS DURATION Information

Training Partner – Instructor Information

On the next few pages you will see blank entry forms for Instructor Information that you will be filling out and providing to us. Please fill out a separate entry form as thoroughly as possible for each Instructor.
NOTE: All fields are required to be filled out.

Please email this completed form and we will then enter this information into Training Partner, and ensure it is available for us to use when we schedule classes for your courses.

Below is a sample of a completed entry form.

Sample of a completed entry form

NOTE:

1) Payroll Name is the instructor’s full name as it appears on payroll
2) Instructor Typescan be either:
CountyEmployee or Non-CountyEmployee

3) Qualificationsare the course(s) that they are qualified to train. The Courses should be courses that
areidentified on the Course Form.

↓Blank entry forms on next page

Your Information

Full Name
Agency

#1

*Instructor Info / (First Name) / (Middle Initial) / (Last Name)
*Instructor Type / (Select ONLY One)
CountyEmployee Non-CountyEmployee
↓ If County Employee, fill out the 4 fields below
Payroll Name
Agency #
Org Code
Org Name
*Qualifications
(Courses)

#2

*Instructor Info / (First Name) / (Middle Initial) / (Last Name)
*Instructor Type / (Select ONLY One)
CountyEmployee Non-CountyEmployee
↓ If County Employee, fill out the 4 fields below
Payroll Name
Agency #
Org Code
Org Name
*Qualifications
(Courses)

#3

*Instructor Info / (First Name) / (Middle Initial) / (Last Name)
*Instructor Type / (Select ONLY One)
CountyEmployee Non-CountyEmployee
↓ If County Employee, fill out the 4 fields below
Payroll Name
Agency #
Org Code
Org Name
*Qualifications
(Courses)

#4

*Instructor Info / (First Name) / (Middle Initial) / (Last Name)
*Instructor Type / (Select ONLY One)
CountyEmployee Non-CountyEmployee
↓ If County Employee, fill out the 4 fields below
Payroll Name
Agency #
Org Code
Org Name
*Qualifications
(Courses)

#5

*Instructor Info / (First Name) / (Middle Initial) / (Last Name)
*Instructor Type / (Select ONLY One)
CountyEmployee Non-CountyEmployee
↓ If County Employee, fill out the 4 fields below
Payroll Name
Agency #
Org Code
Org Name
*Qualifications
(Courses)

#6

*Instructor Info / (First Name) / (Middle Initial) / (Last Name)
*Instructor Type / (Select ONLY One)
CountyEmployee Non-CountyEmployee
↓ If County Employee, fill out the 4 fields below
Payroll Name
Agency #
Org Code
Org Name
*Qualifications
(Courses)

#7

*Instructor Info / (First Name) / (Middle Initial) / (Last Name)
*Instructor Type / (Select ONLY One)
CountyEmployee Non-CountyEmployee
↓ If County Employee, fill out the 4 fields below
Payroll Name
Agency #
Org Code
Org Name
*Qualifications
(Courses)

#8

*Instructor Info / (First Name) / (Middle Initial) / (Last Name)
*Instructor Type / (Select ONLY One)
CountyEmployee Non-CountyEmployee
↓ If County Employee, fill out the 4 fields below
Payroll Name
Agency #
Org Code
Org Name
*Qualifications
(Courses)

#9

*Instructor Info / (First Name) / (Middle Initial) / (Last Name)
*Instructor Type / (Select ONLY One)
CountyEmployee Non-CountyEmployee
↓ If County Employee, fill out the 4 fields below
Payroll Name
Agency #
Org Code
Org Name
*Qualifications
(Courses)

#10

*Instructor Info / (First Name) / (Middle Initial) / (Last Name)
*Instructor Type / (Select ONLY One)
CountyEmployee Non-CountyEmployee
↓ If County Employee, fill out the 4 fields below
Payroll Name
Agency #
Org Code
Org Name
*Qualifications
(Courses)

Additional Entry Forms
If you have more than 10 facilities, feel free to copy/paste additional entry forms below #10 above.

Training Partner – Instructor Information