IPMBA Instructor Course
- FileName: instructor-course-app-CT-080721.pdf
Abstract: IPMBA Instructor Course– REGISTRATION FORM –NEW BRITAIN, CONNECTICUT ~ JULY 21-25, 2008Become an instructor for the premier public safety cyclist training organization.Since 1991, IPMBA Instructors have educated countless public safety personnel in using their bikes safely and effectively on the job. This
IPMBA Instructor Course
– REGISTRATION FORM –
NEW BRITAIN, CONNECTICUT ~ JULY 21-25, 2008
Become an instructor for the premier public safety cyclist training organization.
Since 1991, IPMBA Instructors have educated countless public safety personnel in using their bikes safely and effectively on the job. This
intense course will increase your confidence, reinforce your understanding of the basic principles of public safety cycling, improve your bike-
handling skills, and prepare you to communicate your knowledge to others. Teaching methods include in-class presentations, on-bike drills,
and peer and self-critiques. You will learn to identify and correct improper technique; how to assist students in overcoming individual
difficulties; and how to incorporate various methods of instruction into your courses. When you have completed this course, you will be
equipped with the skills you need to teach beginner and intermediate cyclists how to use the bike, not just as transportation, but as an
indispensable tool for success on the job. Certification will be issued upon successful completion of the course requirements.
Important Information! Please Read First! In order to be eligible for the IPMBA Instructor Course, you must submit the
following items: 1) IPMBA Instructor Application and fee (call 410-744-2400, visit www.ipmba.org, or email [email protected] to
request an application); 2) a copy of your IPMBA Police/EMS/Security Cyclist Certificate. [If you are not already a certified
IPMBA Member, you must submit the IPMBA Membership & Certification Application found in the Application Packet]; 3) a
recommendation from your certifying IPMBA Instructor; 4) a departmental letter of recommendation; and 5) this registration
form. Current IPMBA membership and certification are required. You may join or renew with this form.
Note: Applications are subject to review. If your application is incomplete or you do not meet the pre-requisites described in the application,
your course registration fee will be returned. We recommend that you wait for approval before purchasing non-refundable travel. The
application, membership, and basic certification fees are non-refundable. All paperwork must be received at IPMBA HQ by June 30, 2008.
You must submit your completed Instructor Application prior to or at the same time as your Instructor Course registration form. You will be
notified of your acceptance into the course via email 2-3 weeks after your completed application is received. Course registration fee MUST
accompany this registration form. Spaces cannot be reserved without payment or application approval. No Walk-Ins.
If you are dismissed from the class for not meeting the standards described in the Letter of Expectations, your course registration
fee will not be refunded.
DETAILS: HOST AGENCY: New Britain EMS (NBEMS). ACCOMMODATIONS: Central Connecticut State University Housing. Single dormitory
rooms with shared bath $35 per night. COURSE LOCATION: Central Connecticut State Univ., 1650 Stanley St., New Britain CT. COURSE LENGTH:
40 hours (five eight-hour days). REGISTRATION DEADLINE: Applications, Instructor Course registration forms, and all fees must be received by
IPMBA by June 30, 2008. No walk-ins! COURSE LIMIT: 15.
IPMBA Instructor Course Registration Form
Home Address: _________________________________________ PAYMENT (US DOLLARS ONLY) ENCLOSED:
City, State, Zip: _________________________________________ $525 Course Registration
$125 Instructor Application Fee (if applicable)
Phone: Cell Home _____________________________________ $50 Membership Dues (if applicable) New Renew
Email*: ________________________________________________ $10 Basic (PC/EMSC/SC) Certification (if applicable)
Department Name: ______________________________________ $ ___________ Total Enclosed
Department Address: ____________________________________
City, State, Zip: _________________________________________
Dept. Phone: _________________ Dept. Fax: _________________ |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
CHECK OFF WHAT APPLIES TO YOU! Exp. Date ____/___ Signature:____________________
1. I am a current IPMBA Member (member # ________________________).
renewing IPMBA membership (member # above; $50 dues enclosed). P.O. Number: _______________________________
joining IPMBA (my $50 dues are enclosed). Department Contact for P.O.: ___________________
2. I am an IPMBA-Certified Police, EMS, or Security Cyclist. Contact for P.O. Phone: _______________________
not IPMBA-Certified yet, but my Police/EMS/Security Cyclist
certification application & $10 fee are enclosed. Federal ID# 52-2137781
awaiting my certificate; my application was submitted on ___________. RETURN THIS FORM WITH PAYMENT TO:
3. I am a former instructor seeking recertification (PCI/EMSCI #:_________) .
a first time instructor applicant and: IPMBA Instructor Course
My application and $125.00 fee are enclosed. 583 Frederick Rd. #5B – Baltimore MD 21228
My application has been approved; acceptance letter is enclosed. PH: 410-744-2400 – FX: 410-744-5504
4. I am a member of a Police bike unit. Email: [email protected]
a member of an EMS bike unit.
Refunds: Cancellations must be in writing and postmarked by June 30,
a member of a Security bike unit. 2008. Refunds, less a $25 administrative fee, will be processed after the
* Confirmations will be emailed. Logistical information, a list of required course. Application fee, certification fee and membership dues are non-
equipment, and the PAR-Q can be found in this packet. refundable. No refunds after June 30.
TO : Prospective IPMBA Instructor
FROM : Education Director
The International Police Mountain Bike Association (IPMBA) has been providing world-class training to public safety cyclists since 1991.
IPMBA prides itself on the quality of its training programs and holds its instructors to the highest standards of excellence. In order to
maintain IPMBA’s high standards of instruction, the Education Committee and Governing Board have developed the IPMBA Instructor
Course, in which qualified individuals learn how to effectively and consistently teach IPMBA principles to their fellow public safety
Before you graduate and become certified as an International Police Mountain Bike Association Instructor, you must meet the criteria
set forth below. Your Instructor Trainer must confidently give an affirmative answer to these questions to ensure that the integrity of the
IPMBA Instructor cadre is kept at the highest standard. Completion of this course does not guarantee certification; meeting these
standards of excellence does.
1. Do you know the material contained in the Complete Guide to Public Safety Cycling? The material in the Complete Guide is a
compilation of knowledge and experience and represents thousands of hours of public safety cycling. As IPMBA Instructors, you will
teach the practical skills and knowledge contained within this book. The very lives of your students and the public they serve may
depend on your grasp of that knowledge. To test your knowledge, the basic course test will be administered on the first day of the
Instructor Course. You must score at least a 90% in order to advance in the course. Note: if you are not permitted to advance, your
course registration fee will not be refunded.
2. Can you present the material? To be an effective instructor, you must not only know the material, you must be able to present it in
a clear and concise manner. You will learn techniques for presenting the material in both the classroom and in the field. You will be
evaluated on those techniques at several stages throughout the course.
3. Do you possess instructor-quality riding skills? Students will gain confidence in their own skills only if they learn from an
instructor who demonstrates exceptional cycling skills. Balance, stamina and smooth, flawless techniques are essential qualities that
will win their confidence and motivate them to ascend to higher levels. You will be expected to demonstrate the following maneuvers
on the first day of the class: the five-foot Lock-to-Lock, five-foot Offset Serpentine, the nine-foot Slow Box, and curb/stair loft ascents
and curb/stair descents. You must execute these moves successfully and look comfortable and confident as you perform them in order
to advance in the class. Note: if you are not permitted to advance, your course registration fee will not be refunded.
4. Do you possess good interpersonal skills? Do you communicate well with students and others? An instructor’s demeanor
is one of patience, understanding and support. Some students will not comprehend the material or learn the techniques as readily as
others. You will need strong interpersonal skills and the ability to deliver constructive criticism as well as positive feedback.
5. Can you perform as a solo instructor? You must be able to deliver all the material, not just the parts of it that you like or in which
you excel. Your students will look to you for a comprehensive course of instruction that will give them all the skills and knowledge they
need to perform their duties as a public safety cyclist. You will be responsible for that instruction as you sign each roster that certifies
that your course has been conducted in accordance with the requirements and procedures established by the International Police
Mountain Bike Association.
6. Can you use multiple types of visual aids? As an instructor, you have to be flexible in your teaching style. You may be confronted
with settings that will require you to vary your usual teaching methods. To ensure that you – not your props – are the foundation of
your course, you will be required to use at least two different types of visual aids during mock teaching sessions. Your options include,
but are not limited to, the use of flipcharts, projected computer based media, various items of equipment/gear related to the topic, etc.
We suggest you give thought to which two you will use prior to arriving at the training site. This way you can obtain the materials of
your choice in advance. Purchasing materials on-site may be costly and logistically difficult, considering the time constraints of
attending the course during the day.
As a candidate for this course, you have demonstrated the excellence, the desire and the will to become part of an elite group of
individuals: IPMBA Instructors. It is the desire of this organization to provide you with the most comprehensive, up-to-date and quality-
controlled instruction available; and to enable you to serve as a positive role model and representative of your department and IPMBA.
This will not be an easy course. You will be required to pass rigorous practical and written tests, so re-familiarize yourself with the
material in the Complete Guide to Public Safety Cycling (available from Jones & Bartlett, www.jbpub.com or 800-832-0034), and
practice every skill and technique. Train yourself to think about identifying and correcting improper technique. Above all, make sure
that you feel confident that by the end of the course, you will be able to answer “yes” to each of the above questions.
Note: if If you have any questions about the course or your qualifications, please contact me at [email protected] We look
forward to welcoming you to our elite cadre of instructors.
© 2008 International Police Mountain Bike Association. Revised May 2008.
Page 3 of 14
INSTRUCTOR COURSE ~ NEW BRITAIN, CONNECTICUT ~ JULY 21-25, 2008
Greetings from the International Police Mountain Bike From the East (Hartford)
Association and New Britain EMS! We look forward to Take 84 West to Exit 39A, to Rte. 9 South. Get off Exit
welcoming you to the Instructor Course in New Britain, 29 and take a right at the end of the exit ramp onto Ella
Connecticut, July 21-25, 2008. Please read this information T. Grasso Boulevard. At the third traffic light, take a left
carefully as you make your plans for the course. For into the Student Center Parking Lot and feel free to park
course-related questions, contact Lead Instructor Kirby in the garage in cases of inclement weather.
Beck at [email protected] For questions about your From the West (Danbury/Waterbury)
registration status, contact Maureen Becker at 410-744- Take 84 East to Exit 39A, to Rte. 9 South. Get off Exit 29
2400 or [email protected] For local information, and take a right at the end of the exit ramp onto Ella T.
contact David Koscuk at 860-225-8787 Ext. 24 or Grasso Boulevard. At the third traffic light, take a left into
[email protected] the Student Center Parking Lot and feel free to park in
the garage in the event of inclement weather.
Important: Your application approval and course
confirmation will be sent via email. If you do not receive this
correspondence, do not assume that you are approved and/ BIKE SHIPPING
or registered. Contact the IPMBA office at 410-744-2400 or If you need to ship your bike to a bike shop and have it
[email protected] to check on the status of your assembled, please contact Newington Bicycle, 860-667-
paperwork. 0857 (www.newingtonbike.com.) The cost to assemble
and adjust the bike is $50; arrangements for disassembly
TRAINING LOCATION and repacking can be made directly with the shop for
The course will be held at Central Connecticut State about the same cost plus shipping. Please ship your
University (CCSU), 1650 Stanley Street, New Britain, bike far enough in advance that it arrives at the shop by
Connecticut. Building/classroom TBA. The closest airport Monday, July 14, to enable them time to build it. New
is Bradley International Airport, approximately 30 miles Britain EMS will arrange transportation of bicycles to and
away. New Britain EMS will provide limited shuttle service from the shop on the first and last days of the class.
on Sunday, July 20, from 5:00-5:30pm (arrivals) and
Saturday, July 26, from 8:30am-9:00am (departures). To be BICYCLE STORAGE
included in the shuttle program, please make sure your Secure bike storage will be provided at the training site
arrival and departure time coincide with the shuttle during the classroom portions. You will need to secure
parameters. Please indicate your interest in the shuttle your bike in your room overnight. Neither IPMBA,
when making your lodging reservations through New Britain NBEMS, nor CCSU are responsible for the safety and
EMS. security of bikes. Please bring a lock and use it.
DIRECTIONS TO CCSU CLASS ATTIRE & EQUIPMENT
From the North (Massachusetts) Uniforms are strongly encouraged for the class, both
Take 91 South to 84 West to Exit 39A, to Rte. 9 South. Get classroom and on-bike. Remember: It is important to
off Exit 29 and take a right at the end of the exit ramp onto “train how you play.” Helmets are required for all on-bike
Ella T. Grasso Boulevard. At the third traffic light, take a left activities. The following equipment is mandatory:
into the Student Center Parking Lot and feel free to park in
the garage in the event of inclement weather. • Reputable manufacturer public safety bike in good
From the Southwest (Stamford/New Haven) working order, properly fitted
Take 95 North to 91 North to Exit 22 North, to Rte. 9 North. • Street/combination tires (26 x 1.5-26 x 2.1; no
Follow Rte. 9 North and take Exit 29, Rte. 175. At the traffic knobbies or 29” wheels)
light at the end of the exit ramp, go straight and follow Fenn • Toe clips or other pedal retention devices
Road to the second traffic light, and take a left turn onto Ella • At least one water bottle & holder
T. Grasso Boulevard. At the fourth traffic light, take a left • On-body hydration system (recommended)
into the Student Center Parking Lot and feel free to park in • Headlight (42 lumens measured at 10 ft.)
the garage in the event of inclement weather. • Steady or flashing rear bike light
From the Southeast (Groton/New London) • Rear mount kickstand
Take 95 South to Rte. 9 North to Exit 29, Rte. 175. At the • Rear rack with full-size rack bag
traffic light at the end of the exit ramp, go straight and follow • Panniers (EMS only)
Fenn Road to the second traffic light, and take a left turn • Basic tool kit (4/5/6/8 mm allen wrenches; 8/10 mm
onto Ella T. Grasso Boulevard. At the fourth traffic light, wrenches; quick stick or tire irons; patch kit & two
take a left into the Student Center Parking Lot and feel free spare tubes)
to park in the garage in the event of inclement weather.
IPMBA · 583 Frederick Road, Suite 5B · Baltimore MD 21228 · 410-744-2400 · [email protected]
• Compact air pump or CO2 catering services to participate in their meal plan.
• Bike helmet, approved by CPSC or equivalent Participants will be able to enjoy three meals per day
• Padded cycling gloves (Monday-Friday) in a buffet style environment for a cost
• Body armor of $30 per day.
• Shatter resistant eyewear for day and night
• Full bike uniform If you choose off campus housing, you are still strongly
encouraged to participate in the meal plan as there are
• Duty belt (firearm optional)
limited options in the area and the course schedule will
• Chamois cycling shorts
assume that all students are dining on campus.
• Clothing for all weather (jacket, rainwear, etc.)
• Sunscreen skin protection, bugspray Reservations and payment for on-site accommodations
• Complete Guide to Public Safety Cycling (available and food plan participation can be made by contacting
from Jones & Bartlett, www.jbpub.com or 800-832- David Koscuk at New Britain EMS, 860-225-8787 ext.
0034) 24. Reservations and payment for both of these
• Flash drive or memory stick, 1GB (highly programs must be made by July 5, 2008.
• Laptop computer (highly recommended) RECEPTION AND CHECK IN
• Instructor materials for your classroom The first day of class is Monday, July 21. Please arrive
presentations* at CCSU (exact location TBA) at 0745 hrs. Wear your
• Pens, paper, and other classroom needs full duty uniform, bring your fully assembled bike, and be
• IPMBA waiver and copyright agreement (on-site) ready to ride.
*Instructor Materials PARKING
You will be required to make two presentations (mock Free parking for attendees will be available at the CCSU
teaching sessions of 10 and 15 minutes). If you are Student Center Parking Lot .
comfortable using certain visual or teaching aids (e.g.,
flipchart, laptop, etc.), come prepared to use them.
You will be required to use two or more different visual
Please complete and return the Physical Activity
aids in your presentations, and PowerPoint can be only
Readiness Questionnaire (and medical clearance form if
one of them. Projection equipment and flipcharts will
you answered “yes” to any of the questions.
be provided for in-class use only.
CLASS SCHEDULE The City of New Britain is proud to be the home of the
The full training schedule will be distributed with the
AA Affiliate of the Minnesota Twins, the New Britain
student materials on the first day of the course. The
Rockcats. On Wednesday night, New Britain EMS will
night training is scheduled for Thursday. Schedule:
provide transportation from CCSU to New Britain
Monday: 0800-1800, Tuesday, Wednesday, Friday:
Stadium for an evening baseball game. Tickets are $10.
0800-1700; Thursday: 1300-2100. Note: schedule
Tickets may be purchased at the window, but to ensure
may be changed at the discretion of the instructors.
group seating may be purchased in advance by
contacting David Koscuk at 860-225-8787 ext. 24..
HOUSING & MEALS Game time is 7:05 pm.
Student housing facilities are available for a nightly
rate of $35.00. All rooms are single rooms. This is a
college dorm, and as such there may be a shared
Average temperatures range from 80-90° Fahrenheit
shower/bathroom facility for the floor. The floor most
with moderate humidity and a strong chance of rain/
likely will be comprised of exclusively IPMBA program
thunderstorms. Check the forecast and come prepared
students. Check-in time for the university is between
for all kinds of weather. Remember: “Climate is what
5pm-7pm on Sunday. Check-out time is on Saturday
you expect. Weather is what you get.” (Mark Twain)
If you require a higher level of accommodations, we
suggest the Courtyard by Marriott, which is Thanks to our hosts, New Britain EMS
approximately five minutes away. http://
www.marriott.com/hotels/travel/bdlhf-courtyard- For more information about NBEMS, visit
hartford-farmington/. Keep in mind you will need to www.nbems.org.
transport your bike to and from the hotel each day
should you choose off campus accommodations.
For more information about New Britain, visit
Meals are not included in the course fees but http://www.new-britain.net/.
mealtimes will be scheduled as appropriate. New
Britain EMS has made arrangements with CCSU’s
Physical Activity Readiness Questionnaire
This questionnaire is a simple screening tool used to identify individuals who probably should not
participate in public safety cyclist training exercises without medical clearance. The Par-Q was
developed in Canada and is used throughout North America. This is the revised questionnaire (2002).
This form must be completed by all those who participate in any on-bike exercises. Please fill this
form out and return it as soon as possible to IPMBA, 583 Frederick Road, Suite 5B, Baltimore MD
21228 or 410-744-5504 (fax).
If you are between the ages of 15 and 69, the PAR-Q will tell you if you should check with your
doctor before engaging in physical activity.
Common sense is your best guide when you answer these questions. Please read them carefully
and answer each one honestly by checking Yes or No.
” ” 1. Has your doctor ever said that you have a heart condition and that you should only do
physical activity recommended by a doctor?
” ” 2. Do you feel pain in your chest when you do physical activity?
” ” 3. In the past month, have you had chest pain when you were not doing physical activity?
” ” 4. Do you lose your balance because of dizziness or do you ever lose consciousness?
” ” 5. Do you have a bone or joint problem (e.g., back, knee, or hip) that could be made
worse by a change in your physical activity?
” ” 6. Is your doctor currently prescribing drugs (e.g., water pills) for high blood pressure or
” ” 7. Do you know of any other reason why you should not engage in physical activity?
If you answered “yes” to one or more of the above questions, you must provide written medical
clearance in order to participate in any IPMBA on-bike activities.
IPMBA $ 583 Frederick Rd., Suite 5B, Baltimore MD $ 21228 $ 410-744-2400 $ Fax 410-744-5504 $ [email protected] $ www.ipmba.org
INTERNATIONAL POLICE MOUNTAIN BIKE ASSOCIATION
MEDICAL CLEARANCE FORM
Dear Medical Professional:
The patient you are now seeing would like to participate in various on-bike training activities offered
by the International Police Mountain Bike Association (IPMBA).
Because this patient answered “yes” to one or more questions on the reverse, medical clearance is
required to participate in the training. Please be aware that the Police, EMS, and Security Cyclist
Courses; the Public Safety Cyclist II, Survival Tactics & Riding Skills, and Bicycle Rapid Response
Courses; and the Instructor Course are physically demanding, requiring an extensive amount of on-
bike exercises, in the form of rides (both on- and off-road) and drills. The Bicycle Rapid Response
Team Training course requires the use of gas masks during on-bike drills conducted in a simulated gas-
contaminated environment. These courses range in duration from three to five days.
Based on this individual's medical history and current medical status, please conduct a proper medical
screening and indicate below whether in your opinion, he/she is approved to attend this training:
” Yes, this person has been properly screened and is approved attend the training course.
” No, this person has been properly screened and is not approved to attend this training course.
Doctor’s Signature: _____________________________________Date: ________________
Doctor’s Name, Printed: _______________________________________________________
Please fill out and return immediately to:
IPMBA $583 Frederick Road $ Baltimore, MD 21228
Phone: 410-744-2400 $ FAX: 410-744-5504
Please send a copy of this completed form to the individual screened. Any questions should be
addressed to the Executive Director at [email protected] or 410-744-2400.
Thank you for your assistance.
IPMBA $ 583 Frederick Rd., Suite 5B, Baltimore MD $ 21228 $ 410-744-2400 $ Fax 410-744-5504 $ [email protected] $ www.ipmba.org
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