This form allows you to tell us which areas of instruction you would like to expand teaching in. Once submitted, you will be contacted to discuss the next steps. Instructor Name:(Required) Your email address:(Required) Please select the disciplines you are interested teaching: Airport Firefighter Fire Officer I or II Instructor I or II or III Hazmat Operations Hazmat Technician Fire Investigator Fire Inspector I or II ICS300 or 400 EMS in the Warm Zone Emergency Medical Responder (EMR) First Aid CPR Driver Operator All Vehicle Driver Operator Pumps Driver Operator Aerial Confined Space Technician Ice Rescue Technician Swiftwater Rescue I or II Swiftwater Boat Operator Rope Rescue Operations Rope Rescue Technician Trench Rescue Technician Wildland Firefighter FFI and II Evaluator IAFF Fireground Survival NAEMT PHTLS NAEMT TCCC NAEMT TECC NAEMT TECC-LEO NAEMT FOTS Other medical related courses Dorm Resident Assistant Mentor Additional Comments