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Application Form for Course Authors/Instructors

We are currently accepting applications for Course Authors/Instructors for our Continuing Education Programs. We provide an ever-growing number of continuing education courses for health care professionals, as well as continuing education courses and programs which are applicable toward qualification for various types of Certifications related to health care.

If you are interested in becoming a contracted author/instructor for continuing education courses, please complete this electronic application. Please provide all required information as detailed below.

We are also open to developing new programs and courses and do welcome proposals for such. Proposals may be submitted to Dominick L. Flarey, Ph.D, FACHE at: info@aihcp.org Thank You.

 

Electronic Application

Personal Information
Full Name:
Email:
Mailing Address:
City:
State:
Zip:
Phone (Area code - Number):
Fax (Area code - Number):

Education History

Please complete as applicable to you.

Bachelors Degree & major
Masters Degree and Major
Doctorate Degree and Major
Certifications
Do you have experience teaching college course, seminars or continuing education courses? Yes No

My Subject Specialties are:

 

Work Experience related to
Subject Specialties:

 

Current Career Position &
Place of Employment:

Please submit to our office a copy of your current Resume.

You may submit a copy of your resume by one of the following means:

1. Email as file attachment to: info@aihcp.org

2. Fax to us at: 330-652-7575

3. Postal Mail to: AIHCP, Inc.

                           2400 Niles-Cortland Rd. SE, Suite # 3

                           Warren, Ohio 44484

 

You may also choose to print out this form and fax it or postal mail it to us, along with a copy of your current resume.

Agreement

I, the undersigned, verify that this application is complete, and to the best of my knowledge, all information provided is factual and true. I understand that failure to provide the needed information and required documentation could likely lead to delays in the review of this application.

By clicking the "submit" button below, I acknowledge that I understand that this application demonstrates my willingness to be reviewed for consideration as course author/course instructor for continuing education courses, hosted by the American Institute of Health Care Professionals, Inc. I understand that this is a request for review at this time and does not imply actual acceptance as a course author/instructor or a contract. I also understand that following review of my application and any other requested documents, I will receive follow up and communication by the administrative staff of AIHCP, Inc.

 

Thank You for your interest in our Continuing Education Course Author/Instructor Program! Please allow five business days to receive a response back from us.

Your comments or questions:
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2400 Niles-Cortland Rd. S.E. Suite #4, Warren, Ohio 44484
Tel: 330-652-7776 • Fax: 330-652-7575

© 2006 American Institute of Health Care Professionals