MTP Volunteer Instructor Application
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Number of years licensed for a motorcycle?
Any experience with lightweight bikes? 250cc or less
Do you currently own a motorcycle? if so, make and model pls
Extent of your riding experience (years or Km)
Have you been or are you involved in a leadershipcapacity in organizations such as Cub Scouts, youthgroups, coaching, etc.?
Do you have any experience teaching?
Do you have any experience in public speaking?
Do you have current first aid certification?
Do you have current CPR certification?
Briefly explain why you would like to become an instructor:
I understand that if I am selected to receive Instructortraining, I must successfully complete the course ofinstruction and meet the standards of the Ottawa SafetyCouncil and the Canada Safety Council before beingcertified as an instructor.
I understand
I do not understand
Name
First Name
Last Name
Today's date
-
Month
-
Day
Year
Date
Please indicate your shirt size (generic t-shirt or sweatshirt):
Submit
Should be Empty: