2026 Instructor Request Form

I wish to participate in the 2026 TN River Training Weekend on November 1st-2nd as an instructor. Below is contact information, class information, instructor requirements, and materials list. Included is information on lodging accommodations, travel expenses, and instructor's fees that are required for me to teach. Important Notice: Due to complications in years past we will NOT have the ability to print onsite.

FORM IS DUE SATURDAY, MARCH 28th, 2026!
Organization/Company Name*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*
Be sure to include City, State, and Zip Code
Main Instructor Information

The main instructor will be responsible for all communications concerning TRTW. The main instructor will also be responsible for communicating information about TRTW with any co-instructors.
Name*

Main Instructor First NameLast Name
Email Checked regularly*
example@example.com
Phone*
Format: (000) 000-0000.
- 1.) Name
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email
  example@example.com
- 2.) Name
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email
  example@example.com
- 3.) Name
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email
  example@example.com
- 4.) Name
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email
  example@example.com
- 5.) Name
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email
  example@example.com

Instructor Fees, Lodging, & Travel Fees

Please answer the questions below about Lodging, Instructor Fees, Travel Charges, and Payment. Without this portion filled out properly, we cannot guarantee your accommodations or request(s) will be met.
YESNO
Quality InnDays InnPickwick Lodge
Double QueenKing
Number of Rooms Requested.
Number of Rooms Requested:We base on 2-4 people per room and the hotel's availability.
If you require a fee for presenting, please indicate the cost below.*
Please include an UNDATED itemized invoice and a W9 Form with your request for our accounting department. We cannot fulfill your expense request without them.
If you require a travel fee, please indicate the cost below.*
Please include an UNDATED itemized invoice and a W9 Form with your request for our accounting department. We cannot fulfill your expense request without them.

PAYMENT INFORMATION

Please include an UNDATED itemized invoice and a W9 Form with your request for our accounting department. We cannot fulfill your expense request without them. (Per Hardin County Accounting Department)
Make Payment To*
Total Amount Requested*
Address*

Address

Street Address Line 2

CityState

Zip
Main Instructors Signature*
IF APPLICABLE - Individual responsible for the distribution of funds to other instructors.

First NameLast Name
Phone
Format: (000) 000-0000.
- Upload your invoice here via PDF. Make sure it is NOT dated for accounting department purposes. If you have issues send a copy to jessica@hardincountyfire.com
- 1 Name of entity individual An entry is required For a sole proprietor or disregarded entity enter the owners name on line 1 and enter the business disregarded entity's name on line 2*
- 2 Business namedisregarded entity name if different from above*
- Address*
  
  5 THIS LINE: Address number street and apt or suite no
  
  Street Address Line 2
  
  6 THIS LINE: City state and ZIP codeState / Province
  
  Postal / Zip Code
- Social Security Number
  We only have to have the EIN or your SSN. We do not need both.
- Employee Identification Number
  We only have to have the EIN or your SSN. We do not need both.
- Signature of US person*
- Date*
  
  MonthDayYear
  Date

Main Instructor Information

Instructor Fees, Lodging, & Travel Fees

PAYMENT INFORMATION

COURSE OFFERINGS INFORMATION