Instructor Contract

2002 Washington State SAR Conference

We would like to have you be part of the 2002 Washington State SAR Conference by instructing a course in your field or expertise. The Conference is scheduled for May 17-19, 2002. If you would like to participate as an instructor please complete the information below and return it to the address shown.

The conference will start on Friday at about noon and go through Sunday until about 3:00 pm.

There will be specialized training offered Monday-Friday and Conference staff will be on site throughout the entire time. Instructors will be provided meals during their stay at the conference, and we invite you to stay all weekend.

We ask that if you are not able to attend after signing this contract, that you provide us with an alternate person(s) name for instruction.

For additional information, please contact Kathleen Carlson, (509)427-4181 or email graphics@gorge.net


Print and Mail registration to:

2002 WA. STATE SAR CONFERENCE
Attn: Kathleen Carlson
P.O. BOX 421
STEVENSON, WA. 98648


REGISTRATION

CLASS TITLE: _______________________________________________________________

CLASS DESCRIPTION: ________________________________________________________

BASIC:____________INTERMEDIATE:_______________ADVANCED:___________________

INSTRUCTOR’S NAME: (AS YOU WOULD LIKE TO SEE ADVERTISED)

1- ____________________________________ 

2- ____________________________________

CONTACT ADDRESS:__________________________________________________________

___________________________________________________________________________

TELEPHONE:(______)______________________FAX:(______)_________________________

EMAIL ADDRESS:______________________________________________________________

ALTERNATIVE INSTRUCTOR IF YOU ARE NOT AVAILABLE TO ATTEND:

NAME:_______________________________ADDRESS:_______________________________

____________________________________________________________________________

TELEPHONE:(_____)_______________________FAX:(_____)__________________________

EMAIL ADDRESS:______________________________________________________________

CLASS LENGTH:(CIRCLE ONE OR FILL IN BLANK) 1HR 2HR OTHER:_____________________

CAN IT BE OFFERED MORE THAN ONCE?:(CIRCLE HOW MANY TIMES EACH DAY)

FRIDAY: 0 1 2 3 4 SATURDAY: 0 1 2 3 4 SUNDAY: 0 1 2 3 4

WILL A CLASSROOM BE NEEDED?:_________FIELD WORK?:___________BOTH:__________

SPECIAL NEEDS:(INCLUDE PROJECTORS, ETC.)____________________________________

____________________________________________________________________________

COMMENTS:__________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

INSTRUCTOR SIGNATURE____________________________________ DATE______________

(PLEASE REMEMBER, INSTRUCTOR REGISTRATION, MEALS, & CLASS HANDOUT COPIES ARE PROVIDED FREE OF CHARGE!)


Contact Dave Brown, Skamania County Sheriff's Office
509/427-9490 • daveb@co.skamania.wa.us

Web site compliments of Riverside Graphics
509/427-4181 • graphics@gorge.net