Washington State PEVO Instructor Application

Washington State PEVO Instructor Application
Thank you for your recent interest in becoming a Washington State Pilot/Escort Vehicle Operator (PEVO) Instructor through Evergreen Safety Council. In order to be considered for an upcoming training course, you must submit an application. If you have questions about the process or requirements, please do not hesitate to contact us at pevo@esc.org.
To get started, please pick select from the drop down below:*

Personal information

Enter your personal details
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Date of Birth*

YearMonthDay
Date
Drivers license number*
Drivers license state*
Washington PEVO certification number*
Required for certification
Mailing address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Education

High school graduate or GED?College or University graduate?Other specialized training
Resume

A resume is not required, but may be included.
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Authorized Training Provider (ATP) information
All instructors must be employed by an Authorized Training Provider (ATP). Please select your employer from the list below or select "New Provider" if your company is not yet an ATP.
Authorized Training Provider (ATP)*
Company (or agency) name*
Company address (if different from mailing address entered on previous screen)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact person*
Must be eligible to sign on behalf of the company/agency
Contact phone*
Please enter a valid phone number.
Contact email*
example@example.com
How many people do you anticipate training on an annual basis?*
Business documentation

In order to be eligible to become an ATP, you must provide the following documentation for verification:
- A valid business license
- Proof of commercial liability insurance (also called a COI)
If you do not have the required documentation on hand, you may still submit your application and send the outstanding items to pevo@esc.org.
Business license

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Certificate of Insurance (COI)

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Statement of interest
Briefly explain why you'd like to become a Washington State PEVO instructor through Evergreen Safety Council. Please include and transportation industry experience and/or presentation or teaching experience you may have.
Statement of interest*

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Letters of recommendation
Per Washington State Pilot/Escort Oversight Committee (PEOC) requirements, all instructor candidates must submit a minimum of 2 letters of recommendation highlighting transportation industry and teaching experience.

Letter requirements

Letter #1 -- must verify that you have a minimum of 3 years of documented teaching or training experience

Letter #2 -- must include your working knowledge of Pilot/Escort Vehicle operations, the transportation industry, and pertinent regulations.

Who may submit a letter of recommendation?

Letters of recommendation may be submitted by anyone who can verify your knowledge and experience, such as a current or former employer or contractor. Letters may not be written by an employee, direct report, or family member.

Letter format

To be considered, letters of recommendation must meet the following standards:
- Letters must be typed on company letterhead. (If letterhead is not available, a company business card will be acceptable).
- Each letter must include the contact information of the author.
Letter #1

Upload a letter of recommendation verifying a minimum of 3 years of teaching or presentation experience
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Letter #2

Upload a letter recommendation highlighting technical knowledge and industry experience
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Required prerequisites
In order to be eligible to take the Washington State PEVO Instructor certification course, you must must provide the following documentation as required by the PEOC:
- Current Washington State PEVO certification
- Valid driver license
Please upload your prerequisites using the fields below.
Valid driver license *

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Valid Washington State PEVO certification card*

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Applicant declaration
I declare under penalty of perjury that the information provided on this application is true and correct. I further agree to abide by the instructor standards and responsibilities of Evergreen Safety Council's Washington State Pilot/Escort Vehicle Operator certification program.
Signature*

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Date*

MonthDayYear
Date
Next steps

Once your application has been processed, you will receive a notification via email. If approved, you will need to complete the following steps in order to be eligible to earn an Evergreen Safety Council Washington State PEVO instructor certification:
- Submit all required documentation
- Attend and successfully complete the 3-day Washington State PEVO Instructor course presented by Evergreen Safety Council
- Pass the instructor certification exam on first attempt with a score of 90% or better
- Sign an instructor contract
Should be Empty:

Personal information