Interested in Teaching Online?

The purpose of this form is to provide Florida Community Colleges information about potential adjunct professors to teach online courses. All information collected will only be shared with Florida's Community Colleges and and will not be shared with any other parties. Feel free to read more information on FDLC's privacy policy. (* = required item)

Florida Community Colleges are accredited by SACS (Southern Association of Colleges and Schools) and require that all faculty teaching courses that transfer to a four-year institution have a Master's degree and at least 18 graduate hours in the discipline they are teaching. Faculty without a Masters and/or with fewer than 18 hours may teach only those courses that don't transfer.
Last Name: *
 First Name: *
 Middle Name:
Address (Line 1): *
Address (Line 2):   
City: *
 State: *
 Zip: *
Home Phone: *
 Business Phone:
 E-mail Address: *

Areas of Interest: *

Please select which areas you have an interest in teaching in the left box and click the arrow pointing to the right to add it to your list of chosen areas. If you make a mistake, just reverse the process by selecting an area from the box on the right and click the arrow pointing to the left. You can use the shift or ctrl or apple key + click to select multiple areas.

Areas to choose from:   Chosen Areas:

Geographic Region or Community College of Interest: *

Please select which geographic region of interest in the left box and click the arrow pointing to the right to add it to your list of chosen regions. If you make a mistake, just reverse the process by selecting the region from the box on the right and click the arrow pointing to the left. You can use the shift or ctrl or apple key + click to select multiple areas.

Click here for more information on what community colleges are included in each region.

If you would rather select which community college rather than the region, follow the same directions as stated above. You can choose to select both a geographic region as well as a specific community college..

Regions to choose from:   Chosen Regions:

and / or
Colleges to choose from:   Chosen Colleges:


OR check the following box if you have no preference.
No Preference
How did you learn about this online form? *

Are you a current or former community college employee? * Yes     No

If yes, which college(s) and date(s) of employment? *
Education/Training
Name and Location of School Attendance Graduated Diploma, Degree or
Certfication Earned		 Degree Major or
Major Subject		 Sem.
Hours
From To
MO YR MO YR Yes No
College: *
College:
College:
Business/Vocational or Other:
Academic Honors / Recognition:
If you hold professional, business or industrial related certficates/credentials, please list below:
Emploment History
Completely and accurately, please list past four employers. Begin with the most recent.
1 * Name of Employer:
 Name and Title of Supervisor:
 Telephone of Supervisor:
Address (Include City, State and Zip Code):
Employed From To Full-time
  MO/YR MO/YR Part-time
  Hrs per week:
Initial Position Title:
 Final Position Title:
Describe Professional Responsibilities:


 May present employer be
contacted at this time?

Yes     No
2 Name of Employer:
 Name and Title of Supervisor:
 Telephone of Supervisor:
Address (Include City, State and Zip Code):
Employed From To Full-time
  MO/YR MO/YR Part-time
  Hrs per week:
Initial Position Title:
 Final Position Title:
Describe Professional Responsibilities:
3 Name of Employer:
 Name and Title of Supervisor:
 Telephone of Supervisor:
Address (Include City, State and Zip Code):
Employed From To Full-time
  MO/YR MO/YR Part-time
  Hrs per week:
Initial Position Title:
 Final Position Title:
Describe Professional Responsibilities:
4 Name of Employer:
 Name and Title of Supervisor:
 Telephone of Supervisor:
Address (Include City, State and Zip Code):
Employed From To Full-time
  MO/YR MO/YR Part-time
  Hrs per week:
Initial Position Title:
 Final Position Title:
Describe Professional Responsibilities:
Professional Activities/Associations:
Accomplishments:
Provide a summary statement of your experiences, publications, noteworthy accomplishments, etc.
List the area(s) in which your graduate courses total 18 or more semester hours.
1. Area:
 Semester Hours:
 2. Area:
 Semester Hours:
List traditional courses (non-online) you have taught on a college level and the number of students per course: *
List online courses you have taught on a college level and the number of students per course: *
Which course/learning management system(s) do you feel most comfortable with? *
Have you had any formal training to teach the course or use the learning management system? *
Have you had any training in Frontpage or other webpage authoring software: *
What is an effective teaching strategy in the online environment? *
Provide a statement of your philosophy regarding community colleges and describe your professional work style: *
Is there anything we could add to this form to make it more useful to you or any other general comments?
   


NOTE: If you get an error other than missing information after you click the submit button, please contact us at info@distancelearn.org. Please do not resubmit your data as more than likely it has been saved.

Thank you.