Instructor Profile and Contact Information Form

Instructor Profile and Contact Information Form

LACC Community Services
Our Community Services instructors are our most valuable asset. As such, it is important to maintain up-to-date information about your qualifications, experiences and attributes, as well as your contact information so that our office staff can keep you abreast of changes and opportunities. Please take the time to input any information we currently do not have, or if information on-file has recently changed.

If you are new to Los Angeles City College Community Services and wish to submit a New Course Proposal, but have not done so yet, please visit this link.
Contact Information
Full Name *

Prefix First Name Middle Name Last Name
Name of course, current or proposed?
Mailing Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
E-mail *
Phone Number

Area Code Phone Number
Alternate Phone Number

Area Code Phone Number
Instructor Profile
The information you provide here may be published in our print catalog from time-to-time and will be available on our website while you are actively teaching with LACC Community Services. Please follow the in-form guidelines carefully.
Instructor Profile

To provide students with information about who is teaching the class. 0/50
Upload Profile Image
Acceptable file formats: JPG, TIF, PNG, BMP, and GIF.
Upload Updated Resume
Acceptable file formats: .pdf, .doc, .docx, .odt, .rtf, .txt
Other Comments?
Signature *

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