On-Line Instructor Application

10 / 10ths Motorsports is looking for quality instructors for all our events. Please complete the following form and submit via the on-line submission button.

Terms:

10 / 10ths Motorsports believes in providing quality instructors and delivering effective feeback to our students. Our goal is to teach them the basics of car control, high performance driving techniques and above all, SAFETY. By becoming an instructor, you agree to follow the guidelines and principles of 10 / 10ths Motorsports and to release 10 / 10ths Motorsports of all liability associated with our events. Getting into a car with a novice, or even experienced drivers brings along a certain level of risk. You must be willing to accept this risk.

* Required fields
Name *
E-mail Address *
Address *
City *
State *
Zip Code *
Birth Date *
Sex *	Male Female
Driver's License Number *
Home Phone Number *
Work Phone Number
Cell Phone Number
Email Address *
Vehicle Manufacturer *
Vehicle Year *
Vehicle Model *
Total Number of Events Driven *
Total # Events Instructed *
Do you have a Competition License? *	Yes No
Do you have an "In Car Intercom" system for students? *	Yes No
Please list your last 5 events you instructed at (or less if not 5) *
I have read the above terms and agree to the stipulations therein. I am requesting consideration to become an instructor for 10 / 10ths Motorsports via this application. *	Yes No
Reference#1 *
Reference # 1 Phone Number *
Reference # 2 *
Reference # 2 Phone Number *

I have read and agree to the Privacy Policy *

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