AUTODESK APPROVED INSTRUCTOR

GLOBAL AUTHORIZATION FORM

THIS AUTHORIZATION REQUEST IS FOR (Select one)

☐ New Instructor seeking Approved Instructor Product Authorization for Individual Product(s)
☐ Current Approved Instructor adding a Product Authorization for an Individual Product(s)

INSTRUCTIONS FOR COMPLETION OF APPROVED INSTRUCTOR GLOBAL AUTHORIZATION FORM

This completed Approved Instructor Global Authorization Form (“Authorization Form”) is part of the Autodesk
Authorized Training Center (ATC) and Autodesk Authorized Academic Partner (AAP) authorization process. An
Instructor seeking authorization for the first time, or an instructor requesting additional product authorization-
to-train, must complete the Authorization Form. Instructor must be affiliated with an Autodesk ATC or Autodesk
AAP before submitting an Authorization Form. Prior to making the authorization request, the Instructor must
review the ATC Global Program Guide or the AAP Global Program Guide (“Program Guides”), as applicable, to
confirm they meet the Approved Instructor requirements.

The Instructor will sign and return this completed Authorization Form to the affiliated ATC or AAP Partner. The
affiliated ATC or AAP, and the Instructor, will maintain a copy of the completed Authorization Form to allow for
future updates.

The following information is required for completion of this Authorization Form:

 Instructor’s contact information, including a business e-mail address;
 Customer references; provided ONLY upon request from Autodesk or Regional Distributor
 Copy of instructor’s CV or professional Resume; must include Autodesk Software Product(s) experience, industry
knowledge, and teaching experience; and
 Copy of Autodesk ACU or ACP Certification certificates earned, or other relevant certificates earned, for completion
of training on Autodesk Software products.

Version: 10-2018 2019–2020 Program Year—Autodesk Approved Instructor Global Authorization Form 1
SECTION 1—INSTRUCTOR PROFILE INFORMATION
INSTRUCTOR CONTACT INFORMATION
First Name
Middle Name or Initial
Last Name
Preferred Title Ms., Mrs., Mr., Dr., other
Business E-Mail Address Business E-Mail address provided to affiliated ATC or AAP
Autodesk Instructor ID Number If Instructor is currently an Approved Instructor

Is Instructor a current Autodesk Certified Instructor (ACI)? ☐YES ☐NO

How many years has Instructor been in the training business? ______________ (Number of years)

INSTRUCTOR ACU or ACP CERTIFICATION CREDENTIAL INFORMATION

Autodesk ATC or AAP defines the Autodesk Software Products they seek Approved Instructor Authorization for
in their ATC or AAP Site Authorization Form(s). Instructors seeking Approved Instructor status will provide
evidence of their earned Autodesk Certified User (ACU) or Autodesk Certified Professional (ACP) Certificates for
the Autodesk Software Products for which they have received certifications. This evidence, and other required
information, will enable Autodesk’s review and consideration of the Instructor’s credentials and approval to
train individual Autodesk Software Products. Instructor will include the Certiport certificate Verify Number in
the grid below. If Instructor earned an ACU or ACP credential prior to 2016 they must include a copy of the
Certiport Certification certificate with this Authorization Form. The Certiport Verification Number is located on
the Certification certificate issued by Certiport.

AUTODESK ACU OR ACP CERTIFICATIONS ATTAINED BY INSTRUCTOR

Certificate Training Certiport Verify Type of Training or
Product Name & Version # Course Level
Date # Certification Course

Example: Certificate Date: Verify # w*55w- Basic, Advanced, Classroom, ALC, Online, E-
Autodesk® [AutoCAD 2017] 18-Apr-17 M1BX ACU or ACP Certification Learning

AFFILIATED AUTODESK ATC OR AUTODESK AAP

Was instructor previously employed and/or Affiliated with an Autodesk ATC or AAP?
YES ☐ NO ☐

If YES, Instructor will list all affiliated Autodesk ATCs or AAPs, who employed this Instructor, or contracted training services
from this Instructor. Affiliated Instructor status will be confirmed with the ATC or AAP listed here:

Authorized ATC or AAP Site Name(s) Country Autodesk Site ID Number

INDUSTRY AND TRAINING BACKGROUND

Indicate Instructor’s training and services key focus areas (Check all that apply).
☐ Authorized Training Center or Authorized Academic Partner Site Management
☐ E-Learning training delivery or facilitation (Autodesk-defined E-Learning criteria)
☐ Instructor–led training & knowledge development delivered online
☐ Instructor–led training & knowledge development delivered in training facility

Version: 10-2018 2019–2020 Program Year—Autodesk Approved Instructor Global Authorization Form 2
☐ Non-training and production activities
☐ Technical Consulting and services
☐ Training on-site at a customer’s company location; customized for customer
☐ Other Activities (Describe here)

What specific industry (or product) does Instructor have advanced experience to train?
☐ Architecture ☐ Fusion 360
☐ BIM 360 ☐ Games/Animation
☐ Civil Engineering or infrastructure ☐ Manufacturing
☐ Construction ☐ Media & Entertainment
☐ Engineering ☐ Digital Manufacturing (Delcam or Netfabb products)

Explain how Instructor’s training experience was gained.

☐ Adjunct Faculty or Faculty at Academic Institution; teaches Autodesk Software Products
☐ Instructor at Academic Institution; teaches Autodesk Software Products
☐ Industry Professional; history of Autodesk Software Product use while employed
☐ Trade Skills Union School Instructor; teaches or uses Autodesk Software Products
☐ Completed Autodesk Software Product-related courses at an Academic Institution
☐ Completed courses offered by an Autodesk ATC or Autodesk AAP

Approved Instructor Requirements

Has Affiliated ATC or AAP reviewed the Autodesk ATC Global Program Guide or the Autodesk AAP Global Program
Guide with the Instructor, including review of compliant use of Autodesk Software Products licensed or subscribed
to by ATC or AAP pursuant to the ATC Program or AAP Program, as applicable, ATC or AAP Site requirements,
Mobile Lab requirements, course requirements, and E-Learning Course requirements? YES
☐ NO ☐

References from Trained Delegates

Autodesk reserves the right to request from the Instructor, at least three (3) Trained Delegate Customer
References of recently trained customers of Autodesk Software Products.

AUTHORIZATION FORM & SUPPORTING DOCUMENT CHECKLIST

Before submitting this form for review, Instructor review checklist to ensure form submission is complete:
 All requested information has been provided in each section of the Authorization Form, including a business e-mail
address and Autodesk Instructor ID Number
 Instructor’s CV or Professional Resume is included
 Autodesk ACU or ACP Certificates are included or Certiport Verify number is provided
 Copies of other training certificates are included
 Customer References are available upon request
 Instructor’s show-reel or URL for web site (Media and Entertainment product approval only)

Version: 10-2018 2019–2020 Program Year—Autodesk Approved Instructor Global Authorization Form 3
SECTION 2—DECLARATION SIGNATURE
Instructor must complete and return all required documents to the Affiliated Autodesk ATC or Autodesk AAP.
The applicable Autodesk ATC or Autodesk AAP will submit the form to Autodesk. Meeting the requirements of
an Approved Instructor does not guarantee Autodesk’s approval of this instructor Authorization Form. Autodesk
reserves the right to not approve any applicant at its sole discretion.

Instructors are not allowed to copy or duplicate information from another Instructor’s form. ONLY the Instructor
completing the Authorization Form will sign this Signature page.

Instructor agrees this information, and all course-related information associated with the Instructor, will be
maintained in the Autodesk Partner Database and Autodesk Training Evaluation System, in the Affiliated ATC or
AAP’s records.

I, the undersigned, have read the Authorized Training Center Global Program Guide and/or Authorized Academic
Partner Global Program Guide, as applicable. I understand the requirements for compliant use of Autodesk
Software Products by customers who are participating in training activities for Autodesk Software Products when
courses are offered by an Autodesk ATC, an Autodesk AAP, or delivered by the Approved Instructor.

I the undersigned hereby declare the information given in this Autodesk Approved Instructor Global
Authorization Form is correct and complete to the best of my knowledge and belief.

Instructor Name: ________________________________________ (Printed here)

Title: ________________________________________

Signature: ________________________________________ (Sign here)

Date Signed: ________________________________________

Version: 10-2018 2019–2020 Program Year—Autodesk Approved Instructor Global Authorization Form 4
SECTION 3—DEFINITIONS
“AFFILIATED INSTRUCTOR” shall mean an Autodesk Approved Instructor or an Autodesk ACI Instructor who is affiliated with
an Autodesk Authorized Training Center (ATC) or Autodesk Authorized Academic Partner (AAP) business, and approved
by Autodesk, pursuant to the terms set forth in the Autodesk ATC or AAP Global Program Guide(s), to provide training and
instruction on the use of Autodesk Software Products.

“AUTODESK APPROVED INSTRUCTOR” shall mean a person designated by, and affiliated with, an Autodesk Authorized
Training Center (ATC) or an Autodesk Authorized Academic Partner (AAP) in its Program Authorization Forms, and approved
by Autodesk, pursuant to the terms set forth in the Autodesk ATC or AAP Global Program Guide(s), to provide training and
instruction on the use of one or more Autodesk Software Products. In the case of E-Learning courses delivered electronically,
Approved Instructor shall mean person(s) approved by Autodesk to serve, as an E-Learning instructor/facilitator to answer
training participant’s questions, and oversee the E-Learning course(s) offered for Autodesk Software Products, and that
meets all Qualifying Criteria as defined in the ATC or AAP Global Program Guide(s), Exhibit 2.

“AUTODESK CERTIFIED INSTRUCTOR” or “ACI” shall mean a person meeting the requirements established in the Autodesk
Certified Instructor Program pursuant to the terms specified by Autodesk (“ACI Program”) and who is a credentialed
instructor in the Autodesk Certified Instructor Program. ACI Instructor is required to be an Affiliated Instructor when
representing or marketing their ACI credential to customers.

Version: 10-2018 2019–2020 Program Year—Autodesk Approved Instructor Global Authorization Form 5
SECTION 4—SUPPORTING DOCUMENTS
Instructor’s CV or Professional Resume, Autodesk ACU or Autodesk ACP Certificates, copies of other training certificates,
Instructor’s show-reel or URL for web site can be added on the remaining pages of the Authorization Form.

Version: 10-2018 2019–2020 Program Year—Autodesk Approved Instructor Global Authorization Form 6