USCCA Instructor Development inquiry Please enable JavaScript in your browser to complete this form. - Step 1 of 3Name (as it appears on your Driver's License/State ID) *FirstMiddleLastDate of Birth *Email *Phone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDo you agree to a criminal and sex offender background check? *YesNoWhat are your Social Media Handles? *Instagram, Facebook, Twitter user namesWhat is your USCCA number? *If you don't have one, enter 00000000.Which class date are you applying for?This is a 2 day class, so just pick the first date of the class. If there is no class date scheduled, You'll be the first notified once a course is available.Shirt SizeUSCCA Certified Instructor Polo SizeWomen's SWomen's MWomen's LWomen's XLWomen's 2XLWomen's 3XLWomen's 4XLWomen's 5XLMen's SMen's MMen's LMen's XLMen's 2XLMen's 3XLMen's 4XLMen's 5XLNextFirearms ExperienceDo you currently have a CCW permit or equivalent for your state of residence? *YesNoYou must have a CCW permit or state equivalent to be able to become an instructor. If your state does not require it, select Yes. Do you currently hold any firearm related credentials? If so, what credentials and from what certifying organization? *If you are a range safety office or instructor, please list the credential, the organization, and discipline.Aside from your concealed carry permit, what firearms training and experience do you have? Who was the trainer/instructor? *NextWhat's Your Why?What teaching or volunteer experience, if any, do you have outside of firearms? Professional/work experience counts here, too. *Why do you want to be a firearms instructor? *There are many firearms instructor programs. Why USCCA? *Submit