Teach a Course

If you are interested in teaching workshops through Rehab Education, please complete and submit the following information. 

* are required fields



Home Address*: 

City, State, Zip*: 


Daytime Phone*:  

Evening Phone: 


Area of Clinical Expertise*: 

Work Experience*:  

Number of Years as a Practicing Clinician*:  

Facility where Currently Employed*:  

Do you have prior teaching experience?:   yesno

What topic(s) would you like to teach? Feel free to elaborate on details*.

Have you taught this topic before?  yesno

Have you taught this course in the past 3 years?  yesno

How many hours is this course?

How many times have you taught this course in the past 3 years? Where?  

Please tell us a little about yourself, your teaching skills and your area of clinical expertise: