International Trainer Qualification Form

Please complete the information below on your education and work experience. Then select the courses you feel qualified to teach and complete the information for each course.

Tell us how to get in touch with you:

First Name
Last Name
E-mail
Tel
Cell

Education/Accomplishments

Please list your degrees starting with the highest degree awarded:

Degree Field Institution Year Degree Granted

Please identify your competency with foreign languages:

Language Competency

Please list any awards or special recognition you have received:

Travel

Do you have a current clearance?

Yes    No
If yes, what level is the clearance?

Do you have a current US Tourist Passport?

Yes    No

Have you ever held a US Official Passport?

Yes    No

Have you ever held a US Diplomatic Passport?

Yes    No

Do you hold dual citizenship?

Yes    No
If yes, what other country?
Do you hold a passport of any kind for that country?
Yes    No

How long has it been since you last traveled outside the US?

Do you have a current shot record?

Yes    No

How many times a year would you be able to travel abroad for 1 to 2 weeks?

How many times a year would you be able to travel abroad for more than 3 weeks?

Are you subject to the provisions of the "Lautenberg Amendment"?

Yes    No    Don't know

Instructor Experience

Please rate your experience with the following Microsoft Office applications:

Application Exp. level
Word
PowerPoint
Outlook
Excel

How many years of experience do you have as an instructor?

Please list any instructor certifications and the granting organization:

Describe your experience as an instructor:

How many years of international training experience do you have?

Describe your international training experience:

How many years of experience do you have in instructional design and/or course development?

Subject-matter/Training Experience

Below is a list of the courses and a link to their syllabus. First review the syllabus for the courses you feel you are qualified to teach and pay close attention to the Instructor Qualifications that are required of each Instructor. You must meet the Instructor Qualifications to be approved to teach a particular course.  Then place an “X” in the corresponding cell (Lead or Staff) for those courses and billet which you qualify for.  In each block write one or two paragraphs that have at least one sentence that addresses each of the qualification criteria.  Try to address each of the Staff Instructor and Lead Instructor qualification requirement in 2 or 3 paragraphs.  Don’t use any bullets or fancy symbols — just periods, spaces, and “returns” between sentences and paragraphs.  The easiest method to complete these paragraphs is to look at each qualification and then write as many sentences as necessary indicating how you meet that requirement.  By doing so, you will have accurately addressed each requirement and also completed the required paragraphs. Be sure to list all your formal education, your previous teaching experience, previous work experience which directly relates to the course, the previous courses you have taught and those that you have attended and also indicate your ability to successfully teach foreign nationals. It is extremely important that you emphasize and accurately document all of your Instructor Certifications, Instructor Development Courses/Certifications, the certifying agency(s), and the number of years of instructor experience for each block. Do not copy and paste from one course to another as the requirements are different for each course and billet.  If you qualify for a Lead Instructor position you should automatically qualify for a Staff Instructor Billet.

BELOW ARE TWO EXAMPLE PARAGRAPHS TO BE USED AS A GUIDE:

Example # 1 without a College Degree:

Joe Smuckatelli        
Instructor Summary Paragraphs

BCM Border Control Management  Staff Instructor

Although I do not currently have a degree, I have 3.5 years of University of Massachusetts credits towards BA in political science, numerous Military Schools, and 5 years of equivalent work experience in the field of border control and checkpoint management.  I have served these 20 years as both a Member of a U.S. Army Special Forces “A” Team and a contractor with the DOD, and various civilian corporations.  From early 2002 to 2003 I was deployed as a Special Forces Engineer (Demolitions) and Intelligence NCO on a Special Forces “A” team in Afghanistan operating first hand in assisting and advising the new Afghan Military in Border Control management, Border Control Operations and instructing Afghan Military personnel in securing and controlling the Afghan Pakistani Border.    I currently am the Chief Instructor and Team Sergeant of the mobile training team currently contracted to teach the Hungarian Special Forces Qualification Course, Szolnok Hungary and was responsible for designing the year long Program Of Instruction.  I have taught large numbers of foreign nationals in South America, Central Asia, Europe, Eastern Europe, and Visiting foreign nationals, as this is the main duty of a Special Forces Soldier.    I have recently attended in 2006 the Individual Terrorism Awareness Course (INTAC) and the Ft. Bragg Instructor Training Course ITC.   I am a graduate of the U.S. Army Special Forces Qualification Course, U.S. Army Helicopter Flight School, Special Forces Advanced Urban Combat (SFUAC), and a number of classified antiterror related courses.  I am very familiar with Microsoft Office products and I am willing to travel worldwide in support the ATA program.

Example # 2 with a College Degree:

Joe Smuckatelli        
Instructor Summary Paragraphs

IDC Antiterrorism Instructor Development Course Staff Instructor

I possess a Bachelors of Science degree in Criminal Justice from the University of Massachusetts. I have in excess of 20 years of equivalent work experience in the field of antiterrorism and Instructor training.  I have served these 20 years as both a Member of a U.S. Army Special Forces “A” Team and a contractor with the DOD, and various civilian corporations.  From 2004 through 2007, I was instrumental in the development of the Cultural Awareness and Islam course provided to all Special Forces students at the U.S. Army Special Warfare School at Ft. Bragg NC.   During this time period as a consultant for The DOD, I also instructed various deploying Army, Air Force, & Navy personnel in Anti-Terrorist Operations, Counterinsurgency Operations, Islam and Cultural Awareness, Effects Based Operations, Soviet Weapons, Improvised Explosive Devices (IED’s), and other antiterrorism related subjects.   From early 2002 to 2003 I was deployed as a Special Forces Engineer (Demolitions) and Intelligence NCO on a Special Forces “A” team in Afghanistan operating first hand in antiterrorism operations and instructing Afghan Military personnel in the same.    The Primary duty of a Special Forces Team member is train the trainer and I have 30 years experience around the world.   I currently am the Chief Instructor and Team Sergeant of the mobile training team currently contracted to teach the Hungarian Special Forces Qualification Course, Szolnok Hungary and was responsible for designing the year long Program Of Instruction.    I am willing to accept training instructor assignments in any worldwide location.  I have taught large numbers of foreign nationals in South America, Central Asia, Europe, Eastern Europe, and Visiting foreign nationals, as this is the main duty of a Special Forces Soldier.    I have recently attended in 2006 the Individual Terrorism Awareness Course (INTAC) and the Ft. Bragg Instructor Training Course ITC.   I am a graduate of the U.S. Army Special Forces Qualification Course, U.S. Army Helicopter Flight School, Special Forces Advanced Urban Combat (SFUAC), and a number of classified anti-terror related courses.  I am very familiar with Microsoft Office products and I am willing to travel worldwide in support the ATA program.

Please be specific, this will be used to help identify your level of expertise. Use as much space as needed.

Law Enforcement
Lead
Staff

Antiterrorism Instructor Development Course
Lead
Staff

Border Control Management
Lead
Staff

Counterterrorism Component of Academy Development
Lead
Staff

Fraudulent Travel Documents     Lead | Staff
Lead
Staff

Interdicting Terrorist Activities     Lead | Staff
Lead
Staff

K9 Explosives Detector Dogs & Handlers     Lead
Lead
Staff

Major Events Security Management
Lead
Staff

Maritime Interdiction of Terrorism     Lead | Staff
Lead
Staff

Police Manager's Role in Combating Terrorism     Lead | Staff
Lead
Staff

Preventing, Interdicting & Investigating Acts of Terrorism     Staff
Lead
Staff

Suicide Bomber Workshop
Lead
Staff

Surveillance Detection     Lead | Staff
Lead
Staff

VIP Protection Management
Investigative
Lead
Staff

Identifying & Developing Investigative Information
Lead
Staff

Investigative Information Management
Lead
Staff

Major Case Management     Staff
Lead
Staff

Protective Investigations & Information Management
Lead
Staff

Terrorist Crime Scene Investigation     Lead | Staff
Civil Security
Lead
Staff

Airport Security Management     Lead
Lead
Staff

Critical Incident Management     Lead | Staff
Lead
Staff

Hospital Based Management of Mass Casualty Incident     Lead | Staff
Lead
Staff

Maritime Port & Harbor Security Management     Lead | Staff
Lead
Staff

Preventing Terrorist Attacks on Soft Targets     Lead | Staff
Lead
Staff

Quality Control in Civil Aviation Security
Lead
Staff

Vital Infrastructure Security     Lead | Staff
Lead
Staff

WMD/CBRNE First Responder Awareness Seminar     Lead | Staff
Lead
Staff

WMD/CBRNE Operations & Equipment Delivery     Staff
Senior Management
Lead
Staff

Antiterrorism Executive Forum
Lead
Staff

Combating Domestic & Transnational Terrorism     Lead | Staff
Lead
Staff

Integrating Counterterrorism Strategies at the National Level     Lead | Staff
Lead
Staff

Senior Crisis Management Seminar     Lead | Staff
Tactical
Lead
Staff

Advanced Crisis Response Team     Lead | Staff
Lead
Staff

Advanced Explosive Incident Countermeasures     Lead | Staff
Lead
Staff

Crisis Response Team     Lead | Staff | Breaching Instructor | Police Sharpshooter/Observer Instructor
Lead
Staff

Explosive Incident Countermeasures     Lead | Staff
Lead
Staff

Post Blast Investigation     Lead | Staff
Lead
Staff

Tactical Commanders Course     Lead | Staff
Lead
Staff

Underwater Explosive Incident Countermeasures     Lead | Staff
Lead
Staff

VIP Protection     Lead | Staff
Lead
Staff

VIP Protection - Counter Assault Team     Lead | Staff