RISC-FF Instructor Application | Operation Lifesaver

Fill out and submit this form to apply to become a Railroad Incident and Safety Course for Firefighters (RISC-FF) Instructor. Contact RISC@oli.org with any questions.

First Name

Last Name

Address 1

Address 2

City

State

Zip

Primary Phone

Mobile Phone

Fax

Job title

Organization

Standards and Qualifications

Have you carefully read, fully understand, and agree to abide by the RISC-FF Instructor Criteria and Minimum Standards?

Yes

(View the RISC Minimum Standards)

Have you carefully read, fully understand, and agree to the RISC-FF Instructor Information?

Yes

Have you ever been convicted of a Felony? If yes, a representative from Operation Lifesaver will contact you.

Yes

Have you held a position as a first responder?

Yes

Have you worked for a railroad?

Yes

Public Speaking Experience

How many years of experience do you have in public speaking?

Please describe relevant experience in public speaking/making presentations (not training experience). Operation Lifesaver presentation experience may be included in this answer.

Provide a brief summary of your last two public speaking events to include: dates, locations, type of audience, number in attendance and topics. If you had a speaking event with first responders audience or agency, then please include the details with this summary.

Training

Please note-If you are an Operation Lifesaver Authorized Volunteer (OLAV), Operation Lifesaver does not consider you as an instructor.

List your formal instructor training, instructor certification, teaching degree(s), and formal instructor training classes you have taken. This summary should provide pertinent information that supports your qualifications as an instructor. In addition, please list any first responder related instructor training, commissions, and railroad certifications. The same applies to railroad staff who received company training to instruct specialized topics.

Provide a brief summary of your last two sessions where you were the lead or assistant instructor. Include dates, locations, type of audience, number in attendance and topic instructed.

Background and Knowledge

Please describe your background and knowledge in either or both basic railroad or as a first responder or equivalent demonstrated knowledge. If you possess equivalent background/knowledge, then please provide a detailed description. For example, equivalent background may include a civilian instructor for a first responder agency or academy or teaching a first responder course at a college.

Skills and Abilities

List special skills and abilities you possess related to first responders and/or railroad equipment, operations and technology.

References

Please list 3 supporting references. Include name, email address and phone number

Reference 1

Reference 2

Reference 3

Other

Why are you interested in becoming an RISC-FF Instructor?

How did you hear about this opportunity?

Optional: You may also submit your resume with supporting documentation (txt, doc or PDF format please; max size 16MB)

One file only.
16 MB limit.
Allowed types: txt, pdf.

Signature of Agreement. Please Read Carefully

I declare to the best of my knowledge that the information provided by me on this application is true, correct and complete. I understand and hereby authorize OLI to conduct a background check regarding information provided on this application and my background in general, including but not limited to any charges and/or convictions I may have had for violation of municipal, county, state or federal laws since reaching the age of majority (legal age). This information may be gathered from any source, including any law enforcement agency of this state or federal government, or from third-party providers of information originally obtained from law enforcement or court records. I also understand that any falsification or omission will be grounds for immediate removal from this program. I understand that my information will be submitted to the RISC-FF Application Review Committee.

I agree

Yes