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ICC Instructor and Subject Matter Expert Application
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1.
Contact Information
(Required.)
Name
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Organization
Address
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Address 2
City
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State/Province
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AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code
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Country
Email Address
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Primary Phone Number
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2.
Are you interested in being...
(Required.)
Instructor Only
Subject Matter Expert only
Either Instructor or Subject Matter Expert
3.
How many years of experience do you have?
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4.
Areas of Expertise. Choose all that apply.
(Required.)
Accessibility
Administration
Code Enforcement
Contractor Specialties (You'll be asked to specify at the end of this survey.)
Disaster Response
Electrical
International Codes (You'll be asked to specify at the end of this survey.)
ICC Standards (You'll be asked to specify at the end of this survey.)
Inspector Skills
Legal
Permit Tech
Special Inspector
State Codes (include details below)
List any state codes which are your areas of expertise.
5.
Have you ever taught for or provided SME services to ICC?
No
Yes
6.
Have you attended a Code Council Train the Trainer (Instructor Institute) or SME session?
Yes, I have already attended a Train the Trainer/SME session.
I have not attended a Train the Trainer/SME session, but I am willing to sign up for a future class.
I am not interested in attending a Train the Trainer/SME session.
7.
Which Instructor Institute are you interested in? Check all that apply.
When Disaster Strikes
Authorized Instructor Credential
None of the above
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8.
Are you currently teaching for any other organizations?
(Required.)
No
Not applicable to me
Yes (include organizations list)
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9.
Are you interested in teaching virtual or in-person classes?
(Required.)
I'm interested in only teaching virtual classes.
I'm interested in only teaching in-person classes.
I'm willing to teach virtual or in-person classes.
Not applicable to me
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10.
Are you willing to travel to teach at a training event?
(Required.)
I'm willing to travel anywhere, domestically or internationally.
I'm willing to travel in North America.
I'm willing to travel in the continental United States.
I'm only willing to travel to select areas within the U.S. (You'll be asked to specify at the end of this survey.)
Not applicable to me
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11.
Certifications or other designations:
(Required.)
*
12.
List the languages you speak fluently.
(Required.)
13.
Committee Service or Volunteer Work Relevant to Your Application
