Authorized Instructor Application

  • Authorized Instructor Application

  • Overview

  • Thank you for your interest in becoming an authorized Survival Med instructor or training center.

    Once you complete certification, you'll be able to teach hybrid Survival Med courses which combine:

    • Online self-paced wilderness medicine courses provided by Survival Med
    • Plus local in-person hands-on skills training led by you

    This application has six sections:

    • Your contact details
    • An overview of your formal medical credentials, if any
    • An overview of your wilderness medicine credentials, if any
    • An overview of your wilderness medicine instructor credentials, if any
    • An overview of other instructor credentials, if any
    • An overview of your interests & experiences in outdoor, remote or wilderness settings

    Once accepted, you'll:

    • Upload credentials for verification
    • Complete remaining instructor certification steps

    Questions? Email support@survivalmed.org.

  • Your Contact Details

  • Format: (000) 000-0000.
  • Are you a resident of the United States or a U.S. territory?*
  • I plan to (select ALL that apply):*

  • Your Medical Credentials

  • Check your highest-level CURRENT healthcare or medical license or certification.*
  • Expiration date of higher medical license or certification*
     - -
  • Check ALL that apply:*

  • We're happy to consider medical qualifications other than those listed on a case-by-case basis.

    If you feel that you have other medical training and/or medical experience that may qualify you to become a Survival Med instructor, please tell us more in the Interests and Experiences section at the end of this application.

  • Your Wilderness Medicine Credentials

  • Do NOT include wilderness medicine instructor certifications.

  • Check all of your CURRENT wilderness medicine certifications:*
  • Expiration date of most recent certification - skip if none
     - -

  • Complete the remaining parts of this application.

    If you do not have any wilderness medicine certification, Survival Med offers a supplemental wilderness medicine course specifically for candidates who are otherwise well-qualified.

    After you submit your application, we'll contact you separately if you qualify for this pathway.

  • Prior Wilderness Medicine Instructor Credentials

  • Do you already have a CURRENT wilderness medicine instructor certification from another organization?*

  • Other Medical Instructor Credentials &/Or Experience

  • Do you have any other CURRENT OR PRIOR medical or emergency response INSTRUCTOR experiences and/or certifications? Examples: general first aid, BLS, CPR, ACLS, EMS, or nursing instructor.*

  • Non-Medical Instructor or Group Leader Experience

  • Do you have any other current or prior NON-MEDICAL formal or informal, official or unofficial adult education instructor or group leader experiences in any field? Examples: search & rescue, CERT, disaster management, community college instructor, high school teacher, military leadership, avalanche or lifeguard instruction, etc.*

  • Your Interests & Experiences

  • Other Information

  • Should be Empty: