League Certified Instructor Training Application
NVRC (Northern Virginia Regional Commission), WABA (Washington Area Bicyclist Association, FABB (Fairfax Alliance for Better Bicycling) and INOVA are pleased to provide Transportation Safety Leadership training and League of American Bicyclists Instructor Certification.

We are looking for those community leaders that are committed to training and supporting pedestrian and bicycle safety in our communities. We further want those willing to partners with community staff and leaders to provide outreach and help us reduce the unacceptably high number of pedestrian and bicycling deaths in Northern Virginia. In exchange for this free training, with a value of $500, you will commit to at least 2 community outreach events free of charge, and will continue to collaborate with regional safety partners in the future.

This training offers you the opportunity to charge $50/hour to teach bicycling and safety outreach upon completion.

By registering for this training, you are sharing your availability, interest, and commitment to the project and required outreach. Your application will be reviewed by the organizers, and we will contact you with your acceptance. Factors we are looking for are an ability to ride, a commitment to community, interest in outreach and teaching, and preferably second language abilities and comfort working with different people in small groups and one-on-one.

I commit to make myself available to attend all required classes for the WABA-Share the Roads instructor program:

LCI Education Dates:
March 3, 2018 9a - 4p
April 6. 5p - 9p
April 7, 8a - 9p
April 8, 8a - 4p

Pedestrian Safety Training Date:
To be determined

LCI Location: Inova Fairfax Hospital (Gallows Road / Route 50 - Fairfax VA)
Pedestrian Location: To be determined

Your application does not guarantee acceptance/participation. NVRC and it's partners will evaluate the applicants and determine who best meets the Training goals.

Email address *
First and Last Name
Your answer
Address (Street, City, State)
Your answer
Home Zip Code
Your answer
Work Zip Code
Your answer
Phone Number
Your answer
Email *
Your answer
Gender
Spoken languages (other than English):
Your answer
Age
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms