First Name*

Last Name*

Email Address*

SANS Account Email Address

Title*

Employer*

LinkedIn Profile URL*

Country*

Which courses are you interested in teaching (please separate by comma)?*

Which course is your first choice to teach?*

Provide your GIAC Certifications (separate by comma)*

Provide other industry certifications (separate by comma)

Provide your industry background including any publications, blogs, tools, presentations/webcasts, etc.*

List your key skills and experience related to the course/s you would like to teach*

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