Certification Request for Teaching ISYS 219

Candidate Name: __________________________________________; How long with UoR: ________

Educational background: _______________________________________________________________

Teaching experience (for the requested course): Yes _______ No ________

Candidate contact information: e-mail: _______________; Telephone (home/office): ______________;

Fax: ___________________________; Web site: ___________________________________________

Teaching location (usual): Torrance ______ Burbank ______, Santa Ana _______ Ontario/Rancho Cucamonga

_______ Redlands _______ San Diego _______ Other _______

If 'Yes' (above), where: ________________________________________ and how many times: ______

Any other related (to the topic) teaching experience: _________________________________________

Hands-on (professional, industry) experience with the topic: ____________________________________________________________________________________

Describe your general familiarity with general programming techniques and structured/modular concepts: ___________________________________________________________________________

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Describe why you are interested in teaching the topic: ________________________________________

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What do you think are the teaching challenges of the current techno-socio-economic environment (e.g., adult education,

accelerated format, seasoned professionals, technology trends)? ___________________________________

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