CAC Advanced Instructor Applicant Questionnaire

Instructor candidates should complete this questionnaire electronically, by filling in the appropriate spaces and/or typing in responses in the space provided.

Applicant Contact Information
Name: *
Company/Organization:
Location
Country:
Address:

City:
State/Province:
Zip Code:
Contact Information
Phone: *
Email Address: *

Applicant Questionnaire

1. How many Level 1 sessions have you taught or Level 2 sessions have you co-taught?
List below is pertinent information included

	Level	Date	Location	Host	Name of Second Instructor

2. Using the definitions provided [attached], how many surveys, assessments and/or audits have you personally conducted on compressed air systems?

Walk-through Evaluations:
System Assessments:
System Audits:

3. In your own words, tell us why you think you should be selected to be a Level 2 instructor for the Compressed Air Challenge.

4. Has your technical/teaching capability in compressed air systems been personally observed by any member of the CAC Board, Project Development Committee, or current Level 2 instructor group? If so, list their names below.

References
5. List below or attach a list of the following references [people who can attest to your technical ability, knowledge, and teaching potential]: a. Professional associates or colleagues b. Customers c. CAC Training hosts
Name: *
Company/Organization:
Country:
Address:

City:
State/Province:
Zip Code:
Phone: *
Email Address: *

Please submit a copy of your resume/work history, as well as any other pertinent documentation to support your application, with this questionnaire. Please email a copy to Tracey Kohler at tkohler@compressedairchallenge.org.

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CAC Advanced Instructor Applicant Questionnaire