To complete your 2023 International Instructor renewal, start the process by filling out the Conflict of Interest form below:

STEP ONE: CONFLICT OF INTEREST FORM

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.

STEP TWO: International ASM INSTRUCTOR CONTRACT 2023-2024

When you submit the Instructor Contract you will automatically be taken to membership options where you can complete the process by paying the annual membership fee.

**Lifetime RG members, Instructors with annual reoccurring memberships, those who pay with check and new Instructors that are still in training do not need to make payment and may back out when taken to payments.

ASM Instructor Contract 2024-2025 - International

Annual Instructor Contract (must be signed annually)

"*" indicates required fields

Type contact information below (we need this done every year to assure we have the most recent information).

Date*

Full Name*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Confirm Email

Preferred Phone*

Type of phone (mobile preferred)*

Choose the best form of contact. Mobile preferred since that phone number is portable and text is an option.

I agree to uphold the mission statement of ASM*

1. The mission of Accident Scene Management (ASM) is to reduce injuries and fatalities associated with motorcycle crashes through First Response education. ASM’s goals associated with that mission are to provide quality Bystander Assistance Programs (BAP) in order to strengthen the Emergency Medical System (EMS) and its effectiveness. We also intend to strengthen the EMS in its response to motorcycle trauma.

Level One: I agree to provide a copy of my Professional license to ASM if and as requested.*

2. In order to maintain this focus it is imperative that ASM classes be taught by individuals who are qualified to teach this medically oriented material. It is also important that instructors understand anatomy as well as the EMS system and how it works. We always seek instructors who are love to teach. ASM has Two Tiers of Instructors. Lead instructors (Level One) must be EMT or higher in medical training and a motorcyclist. A Lead may also be approved to advance from Level Two to Level One after teaching for a while with a Lead instructor who recommends in writing that the Level Two instructor be advanced (see the process in the Instructor Binder). Level Two instructors must be a motorcyclist but do not need a medical background. A Level Two Instructor can also be a medical professional who does not ride motorcycle. A Level One (Lead) Instructor must be present for the duration of every class and may teach a class alone. A Level Two instructor can teach any portion of the program (no restrictions but must have a Lead instructor present and cannot teach a class alone.

Level Two: I agree not to teach ASM classes without a Lead instructor present for the duration of the class.

A required field for Level Two instructors.

I agree to be responsible for the use of any course assistant and to be sure that they are properly trained if asked to assist with hands on skills*

3. Course Assistants may be used to assist with larger classes. They can assist with registration, class logistics, assist you with AV and hands on but they cannot teach! Course Assistants are not recognized by ASM as instructors. If they assist with Hands on, it becomes the responsibility of the Lead instructor to be sure they know what they are doing. If there are any issues that arise due to the use of a Course Assistant, the Lead instructor will be held responsible.

I agree to have one instructor/assistant for every 20 students*

4. More students trained is better! ASM recognizes that the difficulty in training more people is mainly logistics including hands on (lecture may be done to large groups) In order to provide a quality experience for your students an additional instructor or an course assistant should be used for groups larger than 20.

I agree to teach jaw thrust rescue breathing as currently recommended by the International Liaison of Cardiac Outcomes and Resuscitation (ILCOR).*

6. ASM maintains its own curriculum and standards that are based upon the US DOT Emergency Medical Responder Curriculum, American Academy of Orthopedic Surgeons’ helmet removal technique, and ILCOR Jaw Thrust Technique for spinal consideration. Instructors must follow ASM’s curriculum and must not add other techniques or topics. This includes not adding videos or pictures to the ASM PowerPoint Program without permission. Instructors must not alter or mix programs. In other words, if you are teaching “A Crash Course for the Motorcyclist” you should not add slides from “Anatomy of a Motorcycle Crash” or visa-versa. Instructors who do not follow these guidelines will face discipline or possible revocation of their license to teach ASM programs.

I agree to teach full faced helmet removal as recommended by the American Academy of Orthopedic Surgeons.*

I agree NOT to teach full faced helmet removal without also teaching jaw thrust rescue breathing.*

I agree to use ASM approved literature at all classes taught using the ASM name*

7. ASM classes are recognized by their standard content. In order for a class to be recognized as an ASM class, ASM materials (student packets and PowerPoint) must be used. The class that is taught in the USA should be the same class that is taught in Australia or South Africa. While we encourage instructors to put their own spin on the class by using stories to have fun with their students and make points about the content, the content must not change. A full student packet must be issued to each student that includes their certificate of completion and their patch. Students will only get credit (certificate and patch) for completing the entire 100 or 300 series class. Patches may not be purchased by students unless the class has been completed.

I agree to issue ASM Certificates and patches to those who have completed the entire ASM class and will not issue a certificate and patch to those who have not completed the entire class.*

I agree to register all classes with ASM*

8. Students frequently contact the ASM office asking about classes. They also look for instructors who are actively teaching. ASM must be notified of all classes that are being taught using the ASM name as soon as you have enough information (Date, time, student charge, basic location) to be able to register the class.

I agree to provide an evaluation summary after each class to ASM within 30 days after each class that is offered.*

9. One of the things that cause the ASM organization to be special is that we track students. We can tell those who inquire; who is teaching our program, how many classes have been taught, how many students have been taught and how our programs have been evaluated by students. Instructors are required to provide the following in a timely manner. ASM also issues continuing education credits and is mandated by the credentialing organization to keep records of students to include Name, address & phone and/or email. ASM prefers e-mail (phone is for you to call the student if there is a last minute change of plans for the class or question).

I agree to answer all inquiries referred to me within 3 days (72 hrs) of receiving the request*

I agree to provide a class roster with a minimum of the full name, city, state, and email address of students within 30 days after the class has been held.*

I agree to teach two classes a year to maintain my “active” instructor status.*

10. An instructor gets better at teaching as they teach classes. It is important to teach at least two times a year in order to have a degree of comfort with the material. Of course more is always better! Active instructors are those who teach two or more a year. If an instructor is “inactive” for two years in a row they may be contacted to determine what their desire is re: continuing to teach and affiliate with ASM

I agree to answer ASM inquiries within 3 days or refer the request to the ASM office*

15. Potential class hosts and students often visit the website and look for instructors, contacting them via their online information. It is important to check your email regularly and answer any inquiries in a timely manner (within 72 hours/3 days).

I agree to keep my focus on ASM topics only while representing ASM and when pressed for my personal opinion will refer the requester to the ASM office or claim NO COMMENT.*

11. Instructors may have strong opinions about matters that are not ASM First Response Curriculum related. As an educational non-profit organization, ASM instructors must refrain from speaking to press or students about matters not ASM related during classes or while representing the ASM program. This includes but is not limited to politics & religion. Regarding laws ASM recommends students obey current laws and beyond that has NO COMMENT.

I agree to contact ASM if a business or group requests to affiliate with ASM*

12. Organizational affiliations can be a good or a bad thing. All official affiliations must go through ASM’s BOD. Please contact ASM if you receive a request such as this.

I agree to support ASM's agreements with corporate partners/sponsors*

13. Anyone contacting you who wishes to speak to your group of students will require that you contact the ASM office before proceeding. Your respect and assistance in maintaining these contractual agreements are imperative as they make it possible to provide you with active web services, curriculum, and a staff to serve you.

I agree to pay a yearly fee to maintain my license, ASM services & Road Guardian Membership*

14. ASM makes a commitment to its instructors. ASM agrees to make a continuous effort to be available for guidance and to keep instructor materials & website updated as needed. In order to accomplish this, a yearly fee is assessed to maintain and update records as well as website information. This service is included in your initial instructor packet and then becomes due October 31st each year. The annual fee is $35.00 and includes Road Guardians Membership. Lifetime Members do not need to pay an annual fee, however, the annual contract will still need to be signed. Instructors can determine that they would like to donate additional tax-deductible amounts to the ASM organization, or work with ASM to host a fundraiser that benefits your local program as well as the home office but we recognize that your donation is often that of the front line worker.

I understand that the above terms pertain to all ASM instructors.*

15. I understand that the above terms are not a comprehensive list of all terms set forth by ASM and that when I am in doubt of a policy or procedure I should contact ASM for guidance. I understand that my behavior can reflect on the organization that I am representing and therefore agree to interact in a professional manner. I understand that my continued use of the ASM brand is contingent upon my adherence to these and all other ASM terms. I understand that I will lose my right to use the ASM brand, including teaching ASM classes, if I fail to follow all terms set forth by ASM. I understand that ASM has the authority to terminate my license to use the ASM brand without notice to me if I fail to abide by any and all of the terms set forth by ASM. I understand the terms stated above and I agree to be bound by them.

I agree to notify ASM of any contact information changes in a timely manner*

Please type your full name. Upon submitting this form you agree to all terms set forth.

Signature*

By typing my full name, I acknowledge it is recognized as an electronic signature. It is the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.