Civil Rights Compliance in Program Delivery Train-the-Trainer Instructor Nomination Form Organizational Unit making nomination: _____Indiana__________________ Name of organizational contact: ___Susan Meadows____ Instructor Information: Name of Instructor: Position: Location: What is your experience as an instructor? What is your knowledge of the subject matter and how did you gain that knowledge? Have you had formal training in instructional skills, etc? What was it? When? One NRCS reference: Name: Location: Telephone Number:
Civil Rights Compliance in Program Delivery Train-the-Trainer Instructor Nomination Form Organizational Unit making nomination: _____Indiana__________________ Name of organizational contact: ___Susan Meadows____ Instructor Information: Name of Instructor: Position: Location: What is your experience as an instructor? What is your knowledge of the subject matter and how did you gain that knowledge? Have you had formal training in instructional skills, etc? What was it? When? One NRCS reference: Name: Location: Telephone Number:
nrcs144p2_030080.docx