Applicant

Application Instructions

Thank you for your interest in becoming a Stop the Bleed^® instructor. Please review the qualifications carefully prior to filling out our online application. Please note that once you have completed the application DO NOT close the web browser, as your results will be automatically loaded on this webpage. If you have any questions regarding your application, please contact us at stopthebleed@facs.org.

INSTRUCTOR ELIGIBILITY:

Anyone that has successfully completed Bleeding Control training or Stop the Bleed Basic Course and meets the following professional requirements:

Certified Athletic Trainer
Certified Registered Nurse Anesthetist (CRNA)
Dentist (DMD/DDS)
Doctor of Chiropractic Medicine (DC)
Doctor of Osteopathic Medicine (DO)
Doctor of Pharmacy (PharmD)
Doctor of Podiatric Medicine (DPM)
Doctor of Veterinary Medicine (DVM)
Emergency Medical Technician (EMT)
EMR
Medical Doctor (MD)
Military Medic/Corpsman
Nurse Practitioner (NP)
Nurse (RN/LPN/LVN)
Occupational Therapist (OT)
Paramedic
Physical Therapist (PT)
Physician Assistant (PA)
Registered Dietitian (RD)
Registered Pharmacist (R.Ph)
Respiratory Therapist (RT)
Ski Patrol
Sworn Law Enforcement Officer
TCCC/TECCC Instructor

Any Student of the above disciplines who has successfully completed a Stop the Bleed Course or Bleeding Control training can become an Associate Instructor.

*Required fields designated by asterisk *

*First Name

Middle Name

*Last Name

*Email

*Confirm Email

*Have you taken a Bleeding Control Basic Course or Stop the Bleed Course?
Yes No

Professional Information

*Profession Category

*Profession

Additional Comments or Questions

By completing this application, I hereby agree that the information that I have entered is accurate and truthful.

Applicant

Application Instructions

INSTRUCTOR ELIGIBILITY:

Professional Information

Thank you for your application - you have been approved! Please click on the button below to finish your profile registration.

Thank you for your application and interest in the Stop the Bleed^® program. At this time you are not eligible to be a Stop the Bleed^® instructor. Please check back with us in future, as we continue to expand our instructor requirements.

Applicant

Application Instructions

INSTRUCTOR ELIGIBILITY:

Professional Information

Thank you for your application - you have been approved! Please click on the button below to finish your profile registration.

Thank you for your application and interest in the Stop the Bleed® program. At this time you are not eligible to be a Stop the Bleed® instructor. Please check back with us in future, as we continue to expand our instructor requirements.

Thank you for your application and interest in the Stop the Bleed^® program. At this time you are not eligible to be a Stop the Bleed^® instructor. Please check back with us in future, as we continue to expand our instructor requirements.