ASOP Casting Instructor Application for 2026

Casting Instructor Application for 2026

Only current ASOP, NAOT or NBCOS members will be considered.
Todays Date*

MonthDayYear
Date
Full Name*

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Cell Phone Number*

Area CodePhone Number
Personal E-mail*
Employer Name (Clinic/Hospital/Office)*
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Work Phone Number*

Area CodePhone Number
Work E-mail
example@example.com
Work Fax #

Area CodePhone Number
Practice Manager Name

First NameLast Name
ROTATCOPE-CPA-CMDOTCMAXray TechRN/NPLPNOther
I have been casting over two years
I have been casting over 5 years
I apply braces in my office
I apply Exos braces in my office
I apply water proof casts in my office
I have my own cast saw and casting tools I can use on a weekend
I have trained students in casting before
I feel comfortable instructing others in short arm, long arm, thumb spica, ulnar gutter and short and long leg casting.
I feel comfortable instructing others in all types of extremity splinting used in ER's and Urgent care facilities to include Sugar Tong, Wrist, Long Arm, Thumb Spica and Posterior Short and Long Leg Splints.
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