Updates to Leader Active Instructor Certification Record
Use this form to have instructor certifications added to or deleted from your Armed Women of America Leader record.
Name
*
First Name
Last Name
Email
*
example@example.com
Chapter Name
*
State Abbreviation
*
What is your current expiration date for your concealed carry license?
Do you have any current certifications from the list below?
Yes
No, I have never held any of the below certifications
I have renewed my certifications
My certifications have expired and I do not plan to renew
Please ADD the following certification(s) to my record:
NRA Pistol
NRA CCW Instructor
NRA Rifle
NRA Shotgun
NRA Refuse to be a Victim
NRA PPITH
NRA PPOTH
NRA Training Counselor
NRA Range Safety Officer (RSO)
NRA Home Firearm Safety
NRA Range Developement
NRA Refuse to be a Victim RC
NRA Chief Range Safety Officer (CRSO)
NRA Metallic Cartridge Reloading Instructor
NRA Muzzleloading Instructor
USCCA Instructor
USCCA Training Counselor
USCCA Women's Handgun and Self Defense Fundamentals Instructor
USCCA Countering the Mass Shooter Threat Instructor
USCCA Emergency First aid Fundamentals Instructor
USCCA Range Safety Officer
CPR Instructor
CPR Certified - Student
Stop the Bleed - Student
Stop the Bleed - Instructor
First Aid Instructor
Other Medical Training, example IFAK, Trauma First Aid, etc.
Concealed Carry Certification Instructor (any state)
ALICE Instructor
IDPA Safety Officer (SO)
Hunter Safety
Project Appleseed
KRAV MAGA
4-H Shooting Sports
UTM (Ultimate Training Munitions) Instructor
Glock Armorer
Archery
I'm just updating expiration dates (complete the information below)
Other
NRA #
NRA expiration Date
USCCA Number
USCCA Expiration Date
Other Certification Numbers and Expiration Dates
Please DELETE the following information from my record as it is either incorrect or no longer active:
Additional comments/questions:
Please upload copies of your certificates (*****required to add or update*****)
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