test instructor application page Annual Conference Instructor Application Step 1 of 3 33% About YouYour Full Name(Required)Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands How do you prefer to be contacted? We need to communicate via email in many cases, but let us know how you'd prefer us to follow up with you (phone call, text, or email). e.g. "I really prefer email, but if I haven't responded within a week, you can try texting. Please only call as a last resort."Demographic Questions These are optional.NWMAF uses this information to apply for grants and other funding, and when evaluating the needs of our members.AgeWhich of the following best describes you? Asian or Pacific Islander Black or African American Hispanic or Latino Native American or Alaskan Native White or Caucasian Biracial or Multiracial A race/ethnicity not listed here Please describeIf you would like to describe yourself in more detail, please do so here.Gender IdentityPronouns Information for Booklet & PublicityHow would you like your name to appear on the website and in the program booklet?(Required)Please include any titles or certifications you'd like us to include. (e.g. "Grandmaster Ana Banana, PhD")Short Bio for the Conference Booklet(Required)This bio will appear in the conference booklet and in social media and publicity materials. Please edit your file for publication, which means checking grammar, punctuation, spelling, clarity, etc., before uploading. We will rely on you to make sure it is polished. Max. characters 2000 = about 300 words.Your full name must be in the filename you are uploading.Accepted file types: doc, docx, pdf, pages, txt, Max. file size: 50 MB.Photos Photos are used for the website, program booklet, and promotional materials. By submitting photos, you authorize NWMAF to use them in print and electronic media if you are selected as an instructor. Please include 2 photos: 1 headshot and 1 action shot (with uniform if appropriate). To help us stay organized, please name your headshot files in this way: lastname-firstname-[whatever-your-current-file-name-is].jpg. No spaces. Headshot(Required)Accepted file types: jpg, png, Max. file size: 50 MB.Additional imageAccepted file types: jpg, png, Max. file size: 50 MB.Do you anticipate financial difficulty in traveling to the Conference location? Yes No I don't know yet Application MaterialsI understand that NWMAF runs criminal background checks as part of the trainer selection process.(Required)We are not looking for spotless records. This is primarily to screen for sexual misconduct and misconduct with minors. NWMAF will pay for the check, and may not run one if you have been screened recently. Please contact events@NWMAF.org with questions or concerns. I understand Do you have a US social security number?(Required) Yes No Resume / C.V. / Teaching Resume Upload(Required) Drop files here or Select files Accepted file types: pdf, doc, docx, pages, Max. file size: 50 MB. References(Required)Please list 3 people we may contact as references. Include full name, email address, and phone number. How many class proposals are you submitting?(Required)Maximum number of classes you are willing to teach?(Required)After you submit this section, you will be redirected to the form to submit your class proposals individually. PhoneThis field is for validation purposes and should be left unchanged. Δ
