Instructor Application

IDENTIFICATION
Name*
First Last
Agency*
Title*
Years Experience Law Enforcement*
Please enter a number greater than or equal to 0.
Years Experience Corrections/Detention*
Please enter a number greater than or equal to 0.
Years Experience Military*
Please enter a number greater than or equal to 0.
Primary Phone Number*
Email Address*
Enter Email Confirm Email
Address Info*
Street Address Address Line 2 City State ZIP Code

Special Details
Detail Hours
Colleges & Degrees
Institution Discipline Total Hours Degree
My Biography
You may copy and paste your resume or CSV here or upload it as an attachment along with the supporting documents below but it must be included to qualify for an instructor position.
Upload supporting documents
Include copies of records that verify the information you have provided above. This may include training records, certificates, letters of participation, training material you have developed and other relevant documents. Understand that you may not be considered for use as an Instructor or Master Instructor if you do not provide these documents.
Drop files here or
Profile Photo*
Your bio and course listings will show on both the public and members only sites by default. Please check this box and choose If you want your photo to show on the public site.
- Yes (Show Photo)
- No (Do not show)
Profile Photo
You may upload a photo of yourself for use in your profile.
Agreement*
- I certify that the above information is true and correct to the best of my ability.

Certification	Certifying Agency

Position Title	Time in Position	Agency

Certified & Other Courses (Title)	Hours

Detail	Hours

IDENTIFICATION