Independent Contractor Application

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Currently, The Regional Training Center is only accepting
applications for instructors in the Maryland Area.
If you want to submit an application or if you already have
submitted an application, you will be notified when positions
become available.
We are happy about your interest in working with the Regional
Training Center team and look forward to a long and mutually
beneficial relationship.
We recommend that you familiarize yourself with Regional Training
Center and our partner colleges. All information about our courses
and programs are available on our website.
Please note that all instructors for RTC are independent contractors
and therefore must provide their own equipment. Here is a basic list of
items needed:
 LCD projector (minimum of 2400 lumens)
 Laptop or netbook computer loaded with PowerPoint (we
will provide the PowerPoint presentation for you.)
 The necessary connecting wires and remote
 Chart paper and markers for most classes
Please submit the following to RTC:

completed application

current professional resume

original transcripts of your graduate studies - Master’s degree is
required

reference letters - two professional references and one personal
reference. Please ask them to write about your abilities as a
trainer of adults and/or graduate instructor.
Please mail all of the above items to
Regional Training Center
Attn: Vinnie Dachowski
486 Route 10 West
Randolph, NJ 07869
Application for Independent Contractor with Regional Training Center
Applicant Information
Full Name
Date
Last
First
M.I.
Address
Street Address
Apartment/Unit #
City
Phone
(
County
)
State
(
Cell Phone
ZIP Code
)
E-Mail Address
List any social networks you belong to
Recommended By (Name)
Social Security No.
YES
Total Years of Teaching
NO
Member of State Teachers Association
Courses
The Gendered Brain
Universal Design for Learning: Reaching All
Learners in the Digital Age
Response to Instruction and Intervention (K-6)
The Kinesthetic Classroom: Teaching and
Learning Through Movement
Teaching Readers to Think (K-8)
Motivation: The Art and the Science of Inspiring
Classroom Success
Stress and the Teaching and Learning Process
Differentiated Instruction
Expanding Student Thinking in the Classroom
Teaching and Learning Through Multiple
Intelligences
Assessment Techniques: Assessing for Student
Learning
Increasing Student Responsibility and SelfDiscipline in Learning Communities
* necessity will dictate which courses you will be approved to teach
Have taken
Course Title
Interested in
Teaching
Have taken
Interested in
Teaching
Please check which RTC course(s) you have completed and which you would be interested in teaching:
Course Title
Integrating Essential Skills Into the Classroom
The Culturally Distinctive Classroom
Using Portfolios for Instruction and Assessment
Styles of Teaching: Personality Type in the
Classroom
The Cooperative Classroom: Kagan’s
Instructional Practices
Cooperative Discipline
Teaching Writing and Thinking Across the
Curriculum
Brain-Based Teaching and Learning
Skills and Strategies for Inclusion and Disability
Awareness
Dealing with AD/HD-Type Behavior in the
Classroom
Wellness: Creating Health and Balance in the
Classroom
I have not taken any of the listed courses
Other RTC Course(s):
School Information
School where you teach
District
Position
School Phone
(
)
Address
Street Address
City
State
ZIP Code
Questions
1. In what ways has your teaching changed over the past 5-10 years?
2. What abilities, characteristics or qualities do you believe would make you an effective instructor with RTC?
3. What part have you played (in or out of your classroom) in the current school reform movement, especially in addressing
21st century goals?
4. What have been the highlights of your teaching of adults?
5. What has been your most significant personal or community activity? Why?
6. Other professional training, including subject of special study, or research work.
References
Please provide two professional and one personal reference letters. Please have reference letters sent to Regional
Training Center, 486 Route 10 West, Randolph NJ 07869.
Transcripts
You must provide an official transcript of your highest college degree attained. A masters degree is required of all
applicants.
Resume
Please provide your current professional resume.
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
I understand that false or misleading information in my application or interview may result in my release as an
independent contractor.
Signature:
Please mail completed application, resume, transcripts, and reference letters to:
Regional Training Center
Attn: Vinnie Dachowski
486 Route 10 West
Randolph, NJ 07869
Date:
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