Accident Scene Management / Road Guardians
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Accident Scene Management / Road Guardians
Login     |     (262) 706-3278

ASM Instructor Application – USA

New ASM instructor Application - USA

The first step to becoming an ASM instructor is to submit an application with supporting documents. You will be able to save and continue if you need to come back to the form to complete it. The supporting documents you need are, a digital photo of yourself for your web listing, a one-paragraph bio for your website listing (introduction), a copy of your certifications and licensure.

MM slash DD slash YYYY
Name(Required)
Example: Paramedic, EMT, RN, MD.....
Address(Required)
Please indicate work, home, partner's cell...
Standard Unisex Navy Blue T-shirt with "Instructor" on the front left chest area and "A Crash Course for the Motorcyclist" on the back
Choose Short or long sleeves(Required)
S - 3X
Accepted file types: doc, docx, Max. file size: 512 MB.
One paragraph introduction to be placed on the website. Something about your motorcycling and medical background. For examples, see https://roadguardians.org/instructor-bios/. If unable to provide a DOC format bio please send in an email.
Max. file size: 512 MB.
Picture of yourself with your bike is preferred.
Max. file size: 512 MB.
Professional license. Other certs are optional.

Conflict of interest form below:

Sign in to your account on the website to be able to access this form. Your user name is likely to be either your email or first initial and last name Reset your password if you do not remember your password.