Request edit access
(PRN) CNA Program Instructor Application (BTG Medical Academy)

CNA Program Instructor (Part-Time or PRN Contractor) (Minimum $35 Per hour) 

Requirements: LPN or RN and Obtain Train the Trainer Certification

Lab Skills Training and Check-offs: (4:30PM to 8:00PM)

Clinical Rotations Supervisor: (8 Hour Rotations) (7AM to 3PM)

Sign in to Google to save your progress. Learn more
Full Name: *
Phone Number:  
 *
Email Address *
What position are you interested *
Required
Nursing License Type
 *
License Number and Expiration Date:
 *
Additional Certifications (e.g., BLS, ACLS, etc.)  
 *
Current or Most Recent Employer & Position
 *
Have you previously taught CNA or other healthcare-related courses?  
 *

If yes, please provide details:

How many years of teaching/training experience do you have?

 *

What instructional methods will use to teach nursing concepts?

 *

Describe any experience you have preparing students for certification exams:

What is your approach to teaching adult learners, especially those new to healthcare?

 *
How will you ensure students are prepared for hands-on care?  
 *
Why are you interested in this CNA instructor position, and how would you contribute to the success of our program?  
 *

Are you available to teach both classroom (skills) and clinical sessions?

 *
Are you able to teach at our campus at 101 Eagles Pointe Parkway in Stockbridge Georgia and/or supervise or clinicals rotations done primarily at Piedmont Henry in Stockbridge? *
Would you be interested in providing our skills training on high school sites and other sites? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms