International ASM Instructor Application

New ASM instructor Application - International (non-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.

Date(Required)

Name(Required)

First Last

Title

Example: Paramedic, EMT, RN, MD.....

Nickname

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Cell Phone(Required)

Alternate Phone

Please indicate work, home, partner's cell...

Email(Required)

Instructor Bio - in word doc format

Accepted file types: doc, docx, Max. file size: 112 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.

Instructor Picture for website

Max. file size: 112 MB.

Picture of yourself with your bike is preferred.

Picture, PDF, or scan of your Certs

Max. file size: 112 MB.

Professional license. Other certs are optional.

New ASM instructor Application - International (non-USA)

Vicki Sanfelipo

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