C.O.E Continuing Education

C.O.E. CONTINUING EDUCATION RESOURCE CENTER

***CREATIONS OF ELEGANCE*** 1-800-795-3004

Instructor Application Form

First Name

Last Name

License Number

Email Address

Mailing Address

Address 2

City

State

Zip

Phone Number

Are you a ...?

	Cosmetologist		Manicurist
	Esthetician		Massage Therapist

What type of classes would be interested in teaching?

How far are you willing to travel?

How many days of the month are you willing to work?

Which day(s) to you prefer to work?

Do you have a problem working alone?

yes no

Do you have access to a computer?

yes no

Do you have reliable transportation?

yes no

Describe any disabilites that may affect your working in the job you are applying for

Describe any hands on classes you would be interested in teaching

Tell us about yourself. Please include your strengths and weaknesses