Instructor Agreement

American Crisis Prevention & Management Association Instructor Agreement

Please Fill out the form on this page.

Then email your government issued ID to [email protected]

First Name of Instructor*

Last Name*

Instructor ID (Issued by ACPMA)

Email Address to be printed on card*

Name of Company

Address of Company*

Phone number*

Company website (If any)

Your Tshirt size*

Please check all the boxes below, I affirm understanding of each point*

I agree to become an ACPMA InstructorI will use ACPMA Materials to teach the courseI will not issue an ACPMA completion card without the student satisfactory completion of courseI understand that there is an instructor yearly membership fee of $200 due Between August 1st and 15th irrespective of when you signed upI understand that every completed student must be logged into the course completion form (both online and classroom students)I understand that Instructor materials must not be shared with someone outside ACPMA instructor network

By typing me name below, I understand this would be considered a legal signature. Please Type your full name below*

Type Today's date as date of agreement*

Please type the complete address to mail instructor materials*

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