Instructor Qualification PDS 17 3 Form - OASAS - Fill and 2026

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  1. Click ‘Get Form’ to open the Instructor Qualification PDS 17 3 Form in the editor.
  2. Begin by entering the Training Provider Name at the top of the form. This identifies your organization.
  3. Fill in your personal details: Instructor Name, Address, and Telephone Numbers (Work, Home, Cell). Ensure all information is accurate for verification purposes.
  4. List all relevant Degrees and Certifications. Include licensing states for any out-of-state credentials to ensure compliance.
  5. Detail your Work Experience related to the training/course work. Be specific about roles and responsibilities.
  6. Document your Training Experience over the past two years, including total hours delivered, titles of trainings, locations, and references for verification.
  7. Provide any Other Qualifications that demonstrate your vast knowledge of the subject area. This can include additional certifications or experiences.

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