Instructor’s Information Form
Strahms Update – February 16, 2010 “Do not let them go unprepared!”
February 17, 2010Ukraine: Perched on the Sill of the 10/40 Window (April 12, 2010)
April 13, 2010Equippers Network International
Instructor Information Form
Name ___________________________________________________
(Please attach a photo)
Courses you would prefer to teach*
First choice _______________________________________________________
Related education ______________________________________________
____________________________________________________________
Number of times you have taught this course _________________________
Where you taught this course _____________________________________
____________________________________________________________
Related ministry experience ______________________________________
____________________________________________________________
Second choice
Related
education ______________________________________________
____________________________________________________________
Number of
times you have taught this course _________________________
Where you
taught this course _____________________________________
____________________________________________________________
Related
ministry experience ______________________________________
____________________________________________________________
*30 or 40-hour courses you have taught previously and
could condense to a one or two week class
Education and name of institution with date degree earned
Bachelor’s _________________________________________________________
Master’s ___________________________________________________________
Doctorate __________________________________________________________
Ministry experience
General teaching experience ____________________________________________
___________________________________________________________________
Overseas experience __________________________________________________
___________________________________________________________________
Mission agencies you’ve served with ______________________________________
Church membership __________________________________________________
Area(s) of Interest
___ Ukraine
___ Moldova
___ Russia
___ Kazakhstan
___ Other, please describe ______________________________________________
Anticipated time commitment
___ One week ministry trip – 9 days, 5 days of teaching plus 4 travel days
Available dates: _______________
___ Two week ministry trip – 16 days, 10 days of teaching plus 6 travel days
Available dates: _______________
___ Extended short term ministry trip (three to six weeks)
Available dates: _______________
___ Full-time resident teaching ministry (one year or more)
Your Contact Information
Email ____________________________________________________________
Phone ____________________________________________________________
Mobile Phone _______________________________________________________
Mailing Address _____________________________________________________
__________________________________________________________________
Mail completed for to:
Equippers’ Network International
P. O. Box 7243
Charlotte, NC 28241
or
Email to Rich Strahm at