Faculty Interest Form

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Faculty Interest Form

Thank you for your interest in teaching with PBI Education. Please tell us more about yourself and why you are interested in working with us at this time. Currently, we are seeking additional faculty to teach our nationally recognized two-day Proper Prescribing Course. This highly flexible position is ideal for clinicians wishing to diversify their work while directly contributing to the field of professionalism in health care. All submissions will be carefully reviewed by our Faculty Selection Committee. After our review, we will be back in touch with you. For questions please contact us at info@pbieducation.com or call 904-800-1237.

First Name*
Last Name*
Degree
Specialty, if applicable
Phone number*
Email address*
Please describe your current work status (e.g., currently working full-time, retired, etc.)*
Why do you want to work with PBI?*
What course(s) would you have the most interest in teaching?*
If you are licensed, is your license current, active, and unrestricted? If no, please explain.*
Are you in good standing with your regulatory board/agency? And do you hold an active role with that board/agency?*
Is there anything else you would like PBI to know about you at this time?
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