Instructors Your Name (required) Your Email (required) Your City Your Province Health Authority Becoming a Registered Bleeding Control Instructor Your Profession: * Emergency Medical Technician/Emergency Medical Responder/Sworn Law Enforcement Officer/Paramedic/Ski PatrolRegistered Nurse/Nurse Practitioner/Certified Registered Nurse Anesthetist/Licensed Vocational Nurse/Licensed Practical NursePhysician AssistantSurgeon/PhysicianDentist/Veterinarian/Pharmacist/Respiratory, Physical, or Occupational Therapist/Certified Athletic Trainer/Registered Dietitian/DPM/ChiropractorOther (Please provide background information in the comments section) Additional Comments or Questions 1+5 Δ For all new instructors please register online with American College of Surgeonshttps://www.bleedingcontrol.org/instructors-contact