STB - Instructor On-Call Roster
Thank you for volunteering to be a STB instructor. Use this form if you would like to be contacted when we need co-instructors (demonstration only) for classes in East Texas.
Email address *
First Name
Your answer
Last Name
Your answer
Credentials (RN, EMT, MD, Student RN, etc..)
Your answer
Organization
Job Title
Your answer
Cell Phone (for texting - if classes are short-notice)
Your answer
Preferred area to teach in East Texas region
Your answer
I certify that I am a certified Stop the Bleed instructor and have registered on the www.bleedingcontrol.org website.
Comments / Special Accommodations
Your answer
A copy of your responses will be emailed to the address you provided.
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