NJ Chapter CPCU Instructor Interest Survey 2010
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1. Default Section

The New Jersey Chapter CPCU Society is interested in expanding its cadre of insurance education instructors to fill the ever-increasing demand for quality education.

We appreciate your taking the time to answer the five questions below. Should you have any questions or require additional information, please contact NJCPCUExecDir@comcast.net.

1. Are you interested in instructing the following types of workshops/courses for the NJ Chapter CPCU Society? Check all that apply.

Are you interested in instructing the following types of workshops/courses for the NJ Chapter CPCU Society? Check all that apply. One-hour CE workshop

Two-hour CE workshop

Three-hour CE workshop

Insurance designation courses such as CPCU, ARM, AIC, AFSB

Specify workshop topic or designation courses you would be interested in teaching.

2. Please indicate the time of day you are available to teach. Check all that apply.

Please indicate the time of day you are available to teach. Check all that apply. Morning

Afternoon

Evening (for example 5 PM - 7 PM, 6 PM - 8 PM time frames)

Optional Comments

3. Please indicate the New Jersey geographic area(s) in which you are available to teach.

Please indicate the New Jersey geographic area(s) in which you are available to teach.

*
4. Please provide your contact information so that we may follow up with you.

Please provide your contact information so that we may follow up with you. Name:
Company/Agency:
Address:
Address 2:
City/Town:
State:
ZIP:
Email Address:
Phone Number:

5. Please provide a brief description of your qualifications for instructing the topics you indicated. 700 characters max. You may also forward your CV to NJCPCUExecDir@comcast.net.

Please provide a brief description of your qualifications for instructing the topics you indicated. 700 characters max. You may also forward your CV to NJCPCUExecDir@comcast.net.

NJ Chapter CPCU Instructor Interest Survey 2010Exit this survey