ESRI Authorized Training Program

ATP Instructor Prequalification Questionnaire

The ESRI Authorized Training Program (ATP) uses this prequalification questionnaire to evaluate your qualifications for becoming an ESRI Authorized Instructor and determine if your skills match current market demands. You must prequalify before you may purchase an application to the ATP. On approval of the prequalification and after having taken the required prerequisite coursework, an information package will be e-mailed to you with an order form for the official Instructor Application. (Note: You may not schedule any classes until after your authorization fee has been paid and you have received your executed agreements and instructor certificate. ESRI is not responsible for accommodating classes scheduled before you are fully authorized.)

Prior to completing this form, please review our policy on accepting prequalification questionnaires. Only submit the form if the policy indicates a market need in the area you intend to teach.

(R) = Required information

Prequalification Details

(R) I would like to prequalify for the following course authorizations:

*Profile Update Only*
ArcGIS Desktop I: Getting Started with GIS
ArcGIS Desktop II: Tools and Functionality
ArcGIS Desktop III: GIS Workflows and Analysis
Building Geodatabases
Introduction to ArcGIS Server
Introduction to Geoprocessing Scripts Using Python
Introduction to Programming ArcObjects Using the Java Platform
Introduction to Programming ArcObjects Using the Microsoft .NET Framework
Introduction to Programming ArcObjects Using VBA
Introduction to the Multiuser Geodatabase
Working with ArcGIS Spatial Analyst

Contact Information

Customer Number:
(R) Name:
(R) Title:
(R) Organization:


(R) Address:
	(Provide complete street mailing address; no P.O. boxes.)
(R) City:
(R) State:
(R) ZIP:
(R) Telephone:	Ext.:
Fax:
(R) E-mail:
Web Site:

(R) Requested Classification

In-house Instructor
Educational Institution Instructor
Commercial Instructor

Instructor Locator Web Site Information

As an Authorized Instructor*, you have the option to have your name, organization, city, state, phone, extension, e-mail, Web address, and course authorizations shown on our Instructor Locator Web site. By approving listing information on the ESRI Web site, you also approve listing information in other ESRI Web pages and publications. Examples are to recognize authorized instructors receiving awards or obtaining new course authorizations. (ESRI does not provide this list directly to other organizations.) Please indicate, below, the information you would like on our Instructor Locator Web site.

* In-house authorized instructors excluded.

List the information above on the ESRI Web site.
Do not list my information on the ESRI Web site.
List the information below on the ESRI Web site.

Name:
Organization:
Address:
(Provide complete street mailing address; no P.O. boxes.)
City:
State:
ZIP:
Telephone:	Ext.:
E-mail:
Web Site:

Details About You

1. Please check all that apply.

I am a(n):

	Existing ESRI authorized instructor.
	Employee of an ESRI Authorized Business Partner
	Government employee: Federal State Local
	Employee of a commercial organization
	Faculty member at an educational institution
	Independent contractor
	Employee of an ESRI Authorized Partner Education Center
	Certified/Authorized trainer for another company

2. Please indicate the names of the course(s) that you are currently authorized to teach.

(R) 3. How many ESRI Authorized Instructors (including yourself) currently exist in your organization?

(R) 4. List your primary industry market:

(R) 5. Please list two references (outside of your organization) who can attest to your teaching abilities and software knowledge.

(R) Name:
Title:
(R) Organization:
(R) Telephone:

(R) Name:
Title:
(R) Organization:
(R) Telephone:

(R) 6. What current or potential business relationship(s) do you have with ESRI, an ESRI Business Partner, ESRI authorized instructor or ESRI APEC?

(R) 7. With whom have you worked with at ESRI?

Your Qualifications

Please read each question in this section carefully and provide an informative but concise answer.

(R) 1. Candidates are required to have at least 200 hours of experience with the software they are seeking authorization to teach. Do you meet this requirement?

Yes No

(R) Please describe when, how, and where you gained this experience (If applicable, also list how it applies to your desire to teach this ESRI course.)

(R) 2. Have you taken the required courses from ESRI within the past 12 months? (ESRI in Redlands or ESRI regional office locations only. Courses taken from an ESRI Authorized Instructor or at other institutions do not qualify.)

Yes No

(R) Please indicate all classes taken (ESRI instructor-led courses only) within the last 12 months and/or fax a copy of your class certificate(s) to 909-307-3050:

(R) Class	(R) Date/Location/Instructor
ArcGIS Desktop I: Getting Started with GIS
ArcGIS Desktop II: Tools and Functionality
ArcGIS Desktop III: GIS Workflows and Analysis
Building Geodatabases
Creating and Editing Geodatabase Features for ArcEditor and ArcInfo (Virtual Campus course)
Creating and Editing Geodatabase Topology with ArcGIS 9 (Virtual Campus course)
Creating, Editing, and Managing Geodatabases for ArcGIS 9 (Virtual Campus course)
Data Management in the Multiuser Geodatabase
Introduction to ArcGIS Server
Introduction to Geoprocessing Scripts Using Python
Introduction to Programming ArcObjects Using the Java Platform
Introduction to Programming ArcObjects Using the Microsoft .NET Framework
Introduction to Programming ArcObjects Using VBA
Introduction to the Multiuser Geodatabase
Working with ArcGIS Spatial Analyst

(R) 3. Indicate all teaching certifications and/or credentials you currently hold. (This is required for Educational and Commercial Instructor classifications.)

	Certified Professional in Learning and Performance (from ASTD) Expiration date:
	FKA Certified Professional Instructor
	CompTIA CTT+ Certified Type:
	Other, please specify:

(R) 4. Do you have a GIS-P? If so, please e-mail your certificate to atp@esri.com. If you do not have a GIS-P, please send a digital portfolio to atp@esri.com. (This is required for Educational and Commercial Instructor classifications.)

	GIS-P
	Other

(R) 5. Check the following situations as they apply to you. I have:

	Lectured in an educational facility such as a high school or a university
	Taught in a classroom setting with job-related content in private industry or a government agency
	Taught many people informally as needed, where a structured classroom environment was not available or necessary
	Lectured in front of five to 30 people
	Led a workshop (lecture and hands-on exercises) for five to 30 people
	Performed in other instructor/presenter role(s)
	Never performed in an instructor/presenter role

(R) 6. Please indicate all ESRI software packages you have used.

(R) 7. What areas of specialization (vertical focus) do you have that would complement your training offerings? Describe any additional content and/or instruction you plan to provide to supplement the ESRI course.

(R) 8. Describe your teaching experience (not exclusive to ESRI products). Submit course reviews or other relevant information.

(R) 9. Please paste your resume below.

Your Business Plans

(R) 1. Describe why and how you (or your organization) plan to integrate respective software courses into your services.

(R) 2. How many classes do you expect to teach per year? How many students do you expect to teach per class?

(R) 3. In what location(s) do you plan to teach? Please be as specific as possible including city, state, whether it's at your facility, an APEC or client site. If at client sites, how far would you travel? List all possibilities.

(R) 4. Who is your target audience and are they from within your organization or external clients? Please describe specific target industries and organizations.

(R) 5. Please provide your training business plan. Describe your objectives.

(R) 6. Describe the training opportunities you see available.

(R) 7. How will you promote your educational services?

(R) 8. Whom do you view as your competition?

ESRI values your privacy.

Contact Us
ESRI Authorized Training Program
380 New York Street
Redlands, CA 92373-8100
909-793-2853, ext. 2111
atp@esri.com
www.esri.com/atp