IPMBA Instructor Course

Transcription

1 IPMBA Instructr Curse REGISTRATION FORM INDIANAPOLIS, INDIANA ~ AUGUST 19-23, 2013 Becme an instructr fr the premier public safety cyclist training rganizatin. Since 1991, IPMBA Instructrs have educated cuntless public safety persnnel in using their bikes safely and effectively n the jb. This intense curse will increase yur cnfidence, reinfrce yur understanding f the basic principles f public safety cycling, imprve yur bikehandling skills, and prepare yu t cmmunicate yur knwledge t thers. Teaching methds include in-class presentatins, n-bike drills, and peer and self-critiques. Yu will learn t identify and crrect imprper technique; hw t assist students in vercming individual difficulties; and hw t incrprate varius methds f instructin int yur curses. When yu have cmpleted this curse, yu will be equipped with the skills yu need t teach beginner and intermediate cyclists hw t use the bike, nt just as transprtatin, but as an indispensable tl fr success n the jb. Certificatin will be issued upn successful cmpletin f the curse requirements. Imprtant Infrmatin! Please Read First! In rder t be eligible fr the IPMBA Instructr Curse, yu must submit the fllwing items: 1) cmpleted IPMBA Instructr Applicatin and fee (included in this packet); 2) a recmmendatin frm yur certifying IPMBA Instructr (see applicatin fr the recmmendatin frm); 3) a departmental letter f recmmendatin (see applicatin fr a sample); 4) this registratin frm; and 5) cmpleted IPMBA Membership and Certificatin applicatin (fund in the applicatin packet) if yu are nt already a current, certified member. Nte: Applicatins are subject t review. If yur applicatin is incmplete r yu d nt meet the pre-requisites described in the applicatin, yur curse registratin fee will be returned. We recmmend that yu wait fr apprval befre purchasing nn-refundable travel. The applicatin, membership, and basic certificatin fees are nn-refundable. All paperwrk must be received by July 31, Yu must submit yur cmpleted Instructr Applicatin prir t r at the same time as yur Instructr Curse registratin frm. Yu will be ntified f yur acceptance int the curse via within three weeks after yur cmpleted applicatin is received. Curse registratin fee MUST accmpany this registratin frm. Spaces cannt be reserved withut payment r applicatin apprval. N Walk-Ins. If yu are dismissed frm the class fr nt meeting the standards described in the Letter f Expectatins fund in the Instructr Applicatin, yur curse registratin fee will nt be refunded. DETAILS: HOST AGENCY: Indianaplis Metrplitan Plice Department. ACCOMMODATIONS: Crwne Plaza Dwntwn Indianaplis, 123 W. Luisiana St., Indianaplis IN Rate and reservatin infrmatin are included in the registratin packet. COURSE LOCATION: IMPD Nrth District, 3120 E. 30 th Street, Indianaplis, IN COURSE LENGTH: 44 hurs. REGISTRATION DEADLINE: Applicatins, Instructr Curse registratin frms, and all fees must be received by IPMBA by July 31, N walkins! COURSE LIMIT: 16. IPMBA Instructr Curse Registratin Frm Name: Hme Address: City, State, Zip: Phne: Cell Hme *: Department Name: Department Address: City, State, Zip: Dept. Phne: Dept. Fax: CHECK OFF WHAT APPLIES TO YOU! 1. I am a current IPMBA Member (member # ). renewing IPMBA membership (member # abve; $55 dues enclsed). jining IPMBA (my $55 dues are enclsed). 2. I am an IPMBA-Certified Plice, EMS, r Security Cyclist. nt IPMBA-Certified yet, but my applicatin & $15 fee are enclsed. awaiting my certificate; my applicatin was submitted n. 3. I am a frmer instructr seeking recertificatin (Instructr #: ). a first time instructr applicant and: My applicatin and $ fee are enclsed. My applicatin has been apprved; acceptance letter is enclsed. 4. I am a member f a Plice bike unit (Plice Cyclist Instructr eligible). a member f an EMS bike unit (EMS Cyclist Instructr eligible). a member f a Security bike unit (Security Cyclist Instructr eligible). *Cnfirmatins will be ed. Lgistical infrmatin, a list f required equipment, and the PAR-Q are included in this packet. PAYMENT (US DOLLARS ONLY) ENCLOSED: $575 Curse Registratin $125 Instructr Applicatin Fee $55 Membership Dues New Renew (if applicable) $15 Basic (PC/EMSC/SC) Certificatin (if applicable) $ Ttal Enclsed Check MC/Visa Exp. Date / Signature: fr Receipt: P.O. Number: Department Cntact fr P.O.: Cntact fr P.O. Phne: Federal ID# RETURN THIS FORM WITH PAYMENT TO: IPMBA Instructr Curse 583 Frederick Rd. #5B Baltimre MD PH: FX: inf@ipmba.rg Refunds: Cancellatins must be in writing and received by July 31. Refunds, less a $50 administrative fee, will be prcessed after the curse. Applicatin fee, certificatin fee and membership dues are nn-refundable. N refunds after July 31.

2 Greetings frm IPMBA and the Indianaplis Metrplitan Plice Department! We lk frward t welcming yu t the IPMBA Instructr Curse in Indianaplis. Please read this infrmatin carefully and call r inf@ipmba.rg with questins. IMPORTANT CONTACTS Curse-related questins: Al Simpsn, mtnbike.al.si@gmail.cm, Registratin status: Maureen Becker, r maureen@ipmba.rg. Lcal infrmatin: Brad Bentley, bradfrd.bentley@indy.gv, Nte: Yur applicatin apprval and curse cnfirmatin will be sent via . If yu d nt receive this crrespndence, d nt assume that yu are registered. Cntact the IPMBA ffice at r Maureen@ipmba.rg t check n the status f yur paperwrk. The registratin deadline fr this class is July 31, TRAINING LOCATION The curse will be held at the Indianaplis Metrplitan Plice Department Nrth District, 3120 E. 30 th Street, Indianaplis IN The training lcatin is apprximately 5.7 miles frm the Crwne Plaza Htel Dwntwn Indianaplis. Transprtatin will be prvided, if needed, t and frm the htel t IMPD. AIRPORT TRANSPORTATION The Crwne Plaza htel is apprximately 13.5 miles frm Indianaplis Internatinal Airprt. Brad Bentley (bradfrd.bentley@indy.gv) r Matt Grimes (Matthew.Grimes@indy.gv) in advance t arrange transprtatin t and frm the airprt. BIKE SHIPPING Bicycles can be shipped t the Bike Line ( fr assembly. Cst: $100 fr unpacking, assembly, disassembly, and repacking. Return shipping is nt included. Advance arrangements are required. Cntact Charlie Rivard r Nate Blair at t arrange service and payment. Bikes must arrive n later than Tuesday, August 13 in rder t be delivered t the IMPD Nrth District prir t the class. Address the shipment as fllws: Yur Name IPMBA Instructr Curse c/ The Bike Line 6520 Crnell Ave. Indianaplis IN Imprtant! Yu must print a return label when scheduling yur shipment via UPS r FEDEX. The Bike Line is lcated 10 miles nrth f the Crwne Plaza and seven miles nrth f the IMPD Nrth District. Hurs f peratin are Mnday-Friday 10am-7pm; Saturday 9am-5pm; Sunday 12pm-4pm. Phne If yu are staying at the Crwne Plaza and wish t assemble and repack yur wn bike, yu may ship it t yurself t arrive n mre than three days prir t yur arrival. Yu will need t schedule a pick-up and print a label in the business center if yu d nt print a return label in advance, s be prepared with an accunt number r credit card.

3 Address the shipment as fllws: Crwne Plaza Htel Dwntwn Indianaplis Sales & Catering Attn: Patti 123 W Luisiana St Indianaplis, IN Hld fr: YOUR NAME IPMBA Instructr Curse Arrival Date: YOUR ARRIVAL Bike rentals are nt available. The Bicycle Garage f Indianaplis is lcated at 4340 E. 82 nd Street, Indianaplis, IN (nine miles nrth f the IMPD Nrth District). Hurs f peratin are Mnday-Saturday 10am-8pm; Sunday 12pm-5pm. Phne BICYCLE STORAGE Bicycles can be stred in htel rms r left in the classrm at IMPD s Nrth District, but bring yur lck fr use during the rides. CHECK IN The first day f class is Mnday, August 19, Arrive at the Indianaplis Metrplitan Plice Department Nrth District headquarters prmptly at 0745 hurs. Wear yur full duty unifrm, bring yur fully assembled bike, and be ready t ride. Tell the gate attendant that yu are attending the IPMBA Instructr Curse and be prepared t shw identificatin. CLASS ATTIRE & EQUIPMENT Bicycles must be fully equipped public safety bicycles. Helmets are required fr all n-bike activities. The fllwing equipment is mandatry: Duty Bike Reputable manufacturer public safety bike in gd wrking rder, prperly fitted Street/cmbinatin tires (26-29 x x 2.1; n knbbies) Pedal retentin devices (BMX-style platfrm pedals are nt acceptable) At least ne water bttle & hlder On-bdy hydratin system (recmmended) Headlight (42 lumens measured at 10 ft.) L.E.D. steady r flashing rear bike light Rear munt kickstand Rear rack/rack bag Panniers (EMS students nly) Tls Basic tl kit (4/5/6/8 mm allen wrenches; 8/10 mm wrenches) Tire levers Patch kit & tw spare tubes Cmpact air pump r CO2 Safety Equipment Bike helmet, apprved by CPSC r equivalent Padded cycling glves Shatter resistant eyewear fr day and night Bdy armr (if wrn n duty) Attire Full duty unifrm Chamis cycling shrts/riding clthes Ful weather gear Full Duty Belt Firearm (ptinal; this class des nt include live fire exercises) Magazine Keepers Batn Handcuffs/Cuff key Flashlight Other Pen/Pencil/Ntebk Sunscreen Cmplete Guide t Public Safety Cycling (purchase frm Jnes & Bartlett, r ; the bk will nt be available fr sale during the class.) Instructinal materials fr in-class presentatins (see belw)* Flash drive, min. 1 GB (highly recmmended) Laptp cmputer (highly recmmended) The enclsed PAR-Q (required) and medical clearance sheet (if indicated by the PAR-Q) IPMBA waiver (t be signed n-site) Instructr Materials: Tw presentatins (mck teaching sessins, 10 and 15 minutes) are required during the class. If yu are cmfrtable using

4 certain teaching r visual aids (flipcharts, PPT, etc.), please bring them r cme prepared t purchase them. Yu will be required t use tw r mre different visual aids during yur presentatins, and PwerPint can nly be used in ne f them. Prjectin equipment and flipcharts will be available fr in-classrm use nly, nt fr practice r preparatin utside f the classrm. CLASS SCHEDULE The full training schedule will be distributed with the student materials n the first day f the curse. The curse hurs are Mnday, Tuesday, Thursday, Friday; Wednesday. Nte: schedule may be changed at the discretin f the instructrs. HOUSING Crwne Plaza Indianaplis Dwntwn Unin Statin, 123 W Luisiana St., Indianaplis, IN The rate is $91.00 plus 17% tax per rm, per night and is available n a first request basis until Mnday, July 15, Call and reference Grup Cde IPM r reserve nline at using Grup Cde IPM. Guest rms include cmplimentary wireless internet access. This full service histric htel is lcated in dwntwn Indianaplis in America s first unin statin and is within walking distance t restaurants, night life, shpping and area attractins. The htel has a business center area, an indr pl, a fitness rm and a restaurant and lunge n site. DIRECTIONS Frm Indianaplis Internatinal Airprt t the Crwne Plaza Dwntwn Indianaplis Exit the airprt twards I-70 eastbund. Cntinue n I70 eastbund t exit 79B Illinis Street / McCarty Street. Turn right nt the ramp. The rad will change names t S. Illinis Street. Prceed nrth t 123 W. Luisiana Street. Washingtn Street. G three streets and turn nrth nt Delaware Street. Turn east nt Ohi Street. Fllw Ohi Street until it turns nrth nt I70EB. Take I70EB t the 1 st exit, which is Rural Street. G nrth n Rural Street, which turns int Keystne Avenue. Turn east nt 30thStreet, g fur blcks, and turn left nt David Mre Memrial Way. IMPD is n the right. MEALS Meals are nt included in the curse fee but mealtimes will be scheduled at apprpriate times. Infrmatin n lcal dining ptins will be available n-site. PARKING Self-parking is currently $22 per vernight in the Pan Am Parking Garage. Valet parking is currently $30 per vernight with in and ut privilege. Parking rates are subject t change. Parking at IMPD is available at n charge. PAR-Q Please cmplete and return the Physical Activity Readiness Questinnaire (and medical clearance frm if yu answered yes t any f the questins) at yur earliest pprtunity. WEATHER Temperatures will range frm the mid 70 s at night t the mid 80 s and 90 s during the day, with mderate humidity. Check the frecast and cme prepared fr all kinds f weather. Remember: Climate is what yu expect. Weather is what yu get. (Mark Twain) Thanks t ur hst agency, Indianaplis Metrplitan Plice Department T the Indianaplis Metrplitan Plice Department Nrth District frm the Crwne Plaza: Turn nrth nt Illinis Street then east nt

5 The IPMBA Instructr Applicatin What is the IPMBA Instructr Curse? The IPMBA Instructr Curse is a five (5) day curse designed t train and certify qualified persns as IPMBA Plice, EMS, r Security Cyclist Instructrs. It is an intense curse that will increase the students cnfidence, reinfrce their understanding f the basic principles f public safety cycling, imprve their bikehandling skills, and prepare them t cmmunicate that knwledge t thers. Teaching methds include inclass presentatins, n-bike drills, and peer and self-critiques. Students learn hw t identify and crrect imprper technique, assist students in vercming individual difficulties, and incrprate varius methds f instructin int the Plice, EMS, and Security Cyclist Curses. Instructr certificatin is cntingent upn satisfactry results f written and n-bike tests, as well as evaluated presentatins. What Distinguishes the IPMBA Instructr Curse frm Other Instructr Develpment Curses? Althugh it addresses tpics cmmnly fund in ther instructr develpment curses, the IPMBA Instructr Curse is unique in that its fcus is n develping the skills needed t teach bicycle-specific tpics. Students learn t set up cne curses and perfrm the varius drills used in the basic IPMBA curses. They learn t prperly evaluate bike-handling skills and teach them t thers. They are required t successfully perfrm each f the n-bike maneuvers utlined in The Cmplete Guide t Public Safety Cycling and demnstrate the prper methd f teaching thse skills. N ther training in the cuntry teaches students hw t break dwn basic bicycling skills fr instructin. And n ther training fcuses n hw t teach the techniques pertinent t perating a bicycle in public safety service. This is the crucial element that separates the IPMBA Instructr Curse frm any ther instructr develpment curse. In curse evaluatins, many students have said that the IPMBA Instructr Curse is the best, mst useful instructr curse they have ever attended. Why Take the IPMBA Instructr Curse? It will take yur n-bike and classrm instructin skills t a new level f prficiency. It is als mandatry fr all prspective instructrs and current instructr candidates wh wish t becme certified IPMBA Instructrs. The primary gal f the curse is t prduce highly-qualified instructrs wh pssess in-depth knwledge and utstanding skills as well as the ability t prvide expert instructin t riders f all levels f experience. Anther, equally imprtant gal is t ensure standardizatin f instructin. Bth f these gals supprt the ultimate gal f training public safety cyclists t perate safely and effectively under the wide range f cnditins and in every type f situatin. Page 1 f 14

6 What Des the IPMBA Instructr Curse Cver? IPMBA Basic Cyclist Curse Thery: curse histry and philsphy Respnsibilities f an IPMBA Instructr: administrative (testing & paperwrk) and persnal (mentring, safety, & liability) respnsibilities f the IPMBA Instructr Instructinal Aids and the Classrm Envirnment: what they are and hw t use them effectively Theries f Instructin and Adult Learning: what they are and hw t apply them The Delivery: hw t make a prfessinal and effective presentatin Curse Planning and Safety: prevent injuries, reduce liability, and ensure success thrugh planning Firearms Training fr Bike Officers: bike-specific firearms and ther specialized training EMS Scene Safety and Lad Placement: keeping yurself, yur patient, and yur equipment safe Tur de ITK: a guided tur thrugh the IPMBA Instructr TlKit CD-ROM Basic Maintenance & Safety Prcedures: hw t teach minr repairs and ensure prper bike fit Teaching Basic Bike-Handling Skills: hw t instill the fundamentals Cnstructing the Cne Curses: hw t set up cne curses and maximize their usefulness Teaching Vehicular Cycling: hw t cnduct safe rad training and testing Diagnsing and Crrecting Rider Errr: hw t identify errrs, demnstrate prper technique, and facilitate student practice and skill mastery Cnducting a Night Ride: lighting, cnspicuity, rider safety in lw-light envirnments Cnducting a Plice/Security/EMS Scenari: cnducting missin-specific scenaris based n realwrld situatins What Are the Pre-Requisites? Yu must: Pass the IPMBA Plice, EMS, r Security Cyclist Curse with a written test scre f 90% r better. Be able t demnstrate extensive knwledge f the Cmplete Guide t Public Safety Cycling. Be a current, certified IPMBA member in gd standing. Prvide prf f licensure r emplyment as a (state P.O.S.T.-certified r equivalent) law enfrcement fficer, EMS prvider, r security fficer. Be an active public safety cyclist n a full- r part-time basis.* Have a minimum f twelve mnths full-time r 24 mnths part-time bike unit experience. Obtain a psitive recmmendatin frm yur certifying IPMBA Instructr r ther active IPMBA Instructr. Obtain a letter f recmmendatin and supprt frm yur department. Submit an IPMBA Instructr Applicatin and fee. Once I am Certified, What Can I Teach? Yur branch f public safety dictates the type f instructr certificatin fr which yu are eligible and which curses yu are authrized t teach. Type f Public Safety Cyclist Type f Instructr Certificatin Curses Taught Licensed Law Enfrcement Officer PCI Plice & Security Cyclist EMS Prvider EMSCI EMS Cyclist Security Officer SCI Security Cyclist Hw D I Apply? Read this applicatin thrughly, fill it ut, and submit it with the necessary dcumentatin and fees t IPMBA Headquarters. The IPMBA Educatin Cmmittee reviews each applicatin and ntifies each applicant f its decisin. Yu may register fr an IPMBA Instructr Curse with the applicatin r at a later date. Page 2 f 14

7 TO : Prspective IPMBA Instructr FROM : Educatin Directr The Internatinal Plice Muntain Bike Assciatin (IPMBA) has been prviding wrld-class training t public safety cyclists since IPMBA prides itself n the quality f its training prgrams and hlds its instructrs t the highest standards f excellence. In rder t maintain IPMBA s high standards f instructin, the Educatin Cmmittee and Gverning Bard have develped the IPMBA Instructr Curse, in which qualified individuals learn hw t effectively and cnsistently teach IPMBA principles t their fellw public safety bicyclists. Befre yu graduate and becme certified as an Internatinal Plice Muntain Bike Assciatin Instructr, yu must meet the criteria set frth belw. Yur Instructr Trainer must cnfidently give an affirmative answer t these questins t ensure that the integrity f the IPMBA Instructr cadre is kept at the highest standard. Cmpletin f this curse des nt guarantee certificatin; meeting these standards f excellence des. 1. D yu knw the material cntained in the Cmplete Guide t Public Safety Cycling? The material in the Cmplete Guide is a cmpilatin f knwledge and experience and represents thusands f hurs f public safety cycling experience. As IPMBA Instructrs, yu will teach the practical skills and knwledge cntained within this bk. The very lives f yur students and the public they serve may depend n yur grasp f that knwledge. T test yur knwledge, a written basic knwledge test will be administered n the first day f the Instructr Curse. Yu must scre at least a 90% in rder t advance in the curse. Nte: if yu are nt permitted t advance, yur curse registratin fee will nt be refunded. 2. Can yu present the material? T be an effective instructr, yu must nt nly knw the material, yu must be able t present it in a clear and cncise manner. Yu will learn techniques fr presenting the material in bth the classrm and in the field. Yu will be evaluated n thse techniques at several stages thrughut the curse. Yu will be required t cmplete tw prepared presentatins f 10 and 15 minutes. 3. D yu pssess instructr-quality riding skills? Students will gain cnfidence in their wn skills nly if they learn frm an instructr wh demnstrates exceptinal cycling skills. Balance, stamina and smth, flawless techniques are essential qualities that will win their cnfidence and mtivate them t ascend t higher levels. Yu will be expected t demnstrate the fllwing maneuvers n the first day f the class: the fur-ft Lck-t-Lck, fur-ft Offset Serpentine, the nine-ft Slw Bx, and curb/stair lft ascents and curb/stair descents. Yu must execute these mves successfully and lk cmfrtable and cnfident as yu perfrm them in rder t advance in the class. Nte: if yu are nt permitted t advance, yur curse registratin fee will nt be refunded. 4. D yu pssess gd interpersnal skills? D yu cmmunicate well with students and thers? An instructr s demeanr is ne f patience, understanding and supprt. Sme students will nt cmprehend the material r learn the techniques as readily as thers. Yu will need strng interpersnal skills and the ability t deliver cnstructive criticism as well as psitive feedback. 5. Can yu perfrm as a sl instructr? Yu must be able t deliver all the material, nt just the parts f it that yu like r in which yu excel. Yur students will lk t yu fr a cmprehensive curse f instructin that will give them all the skills and knwledge they need t perfrm their duties as a public safety cyclist. Yu will be respnsible fr that instructin as yu sign each rster that certifies that yur curse has been cnducted in accrdance with the requirements and prcedures established by the Internatinal Plice Muntain Bike Assciatin. 6. Can yu use multiple types f visual aids? As an instructr, yu have t be flexible in yur teaching style. Yu may be cnfrnted with settings that will require yu t vary yur usual teaching methds. T ensure that yu nt yur prps are the fundatin f yur curse, yu will be required t use at least tw different types f visual aids during mck teaching sessins. Yur ptins include, but are nt limited t, flipcharts, prjected cmputer based media, varius items f equipment/gear related t the tpic, etc. We suggest yu give thught t which tw yu will use prir t arriving at the training site. This way yu can btain the materials f yur chice in advance. Purchasing materials n-site may be cstly and lgistically difficult, cnsidering the time cnstraints f attending the curse during the day. As a candidate fr this curse, yu have demnstrated the excellence, the desire and the will t becme part f an elite grup f individuals: IPMBA Instructrs. It is the desire f this rganizatin t prvide yu with the mst cmprehensive, up-t-date and qualitycntrlled instructin available; and t enable yu t serve as a psitive rle mdel and representative f yur department and IPMBA. This will nt be an easy curse. Yu will be required t pass rigrus practical and written tests, s re-familiarize yurself with the material in the Cmplete Guide t Public Safety Cycling (available frm Jnes & Bartlett, r ), and practice every skill and technique. Train yurself t think abut identifying and crrecting imprper technique. Abve all, make sure that yu feel cnfident that by the end f the curse, yu will be able t answer yes t each f the abve questins. If yu have any questins, please cntact me at educatin@ipmba.rg. We lk frward t welcming yu t ur instructr cadre. Page 3 f 14

8 TO : Prspective IPMBA Instructr FROM : IPMBA Headquarters RE : IPMBA Instructr Applicatin Thank yu fr yur interest in becming a certified IPMBA Instructr. Please read thrugh this applicatin thrughly and ensure that yu meet the prerequisites befre cmpleting it. If yu have any questins abut yur eligibility, cntact the Educatin Directr at educatin@ipmba.rg. Becming a certified IPMBA Instructr is basically a three step prcess: 1) cmplete an IPMBA Plice, EMS, r Security Cyclist Curse and btain IPMBA certificatin; 2) cmplete this IPMBA Instructr Applicatin packet, making sure that yu include all required materials, and submit it t IPMBA headquarters; and 3) register and attend a five-day IPMBA Instructr certificatin curse within ne year f acceptance. Dates and lcatins f the IPMBA Instructr Curses are annunced n the website and in IPMBA News. Upn satisfactry cmpletin f the five-day IPMBA Instructr Curse, the applicant is issued an fficial IPMBA Instructr Certificate. Licensed law enfrcement fficers are certified as Plice Cyclist Instructrs and are authrized t teach the Plice and Security Cyclist Curses; EMS prviders are certified as EMS Cyclist Instructrs and are authrized t teach the EMS Cyclist Curse; and security fficers are certified as Security Cyclists Instructrs and are authrized t teach the Security Cyclist Curse. Certified instructrs are expected t maintain the high standards f instructin and safety demnstrated in the IPMBA Instructr Curse. Instructrs may retain their active status by 1) maintaining membership in IPMBA, and 2) teaching a minimum f ne Plice, EMS r Security Cyclist Curse every 24 mnths and submitting all required cursewrk t IPMBA in a timely manner. IPMBA Instructrs are als expected t assist actively prmte IPMBA membership t students during their classes. A vide presentatin will be prvided fr this purpse. In additin t ffering Plice, EMS and Security Cyclist Curses, certified instructrs are eligible t teach curses and present wrkshps at IPMBA s Annual Cnference. They may als apply fr IPMBA Instructr Trainer certificatin as pprtunities becme available and eligibility requirements are met. Please fill ut this applicatin in its entirety and submit it, accmpanied by all required dcumentatin and fees, t: IPMBA Instructr Applicatin 583 Frederick Rad, Suite 5B Baltimre, Maryland Yur applicatin will be reviewed by the IPMBA Educatin Cmmittee t determine yur eligibility fr the IPMBA Instructr Curse. IPMBA s Educatin Directr will ntify yu f the cmmittee s decisin by r regular mail (if yu d nt have an address). Yu may register fr an IPMBA Instructr Curse either with this applicatin r at a later date. Yu must submit this applicatin either prir t r at the same time yu register fr an IPMBA Instructr Curse. Please call r inf@ipmba.rg if yu have any questins abut the applicatin prcess r the eligibility requirements. Please nte that the IPMBA Instructr Applicatin, membership, and basic certificatin fees are nnrefundable. Page 4 f 14

9 IPMBA Instructr Curse Pre-Requisites In rder t apply fr certificatin as an IPMBA Instructr, yu must: Cmplete the IPMBA Plice, EMS r Security Cyclist Certificatin Curse taught by an active, certified IPMBA Plice, EMS, r Security Cyclist Instructr. Scre at least a 90% n the written prtin f the Plice/EMS/Security Cyclist Curse examinatin and demnstrate superir bike-handling skills. Be an IPMBA-certified Plice, EMS, r Security Cyclist and a current member f IPMBA. Be an active public safety cyclist n a full- r part-time basis.* Pssess a minimum f twelve mnths full-time r 24 mnths part-time experience n bike duty.* Be able t prvide prf f licensure r emplyment as a (state P.O.S.T.-certified r equivalent) law enfrcement fficer, EMS prvider, r security fficer.* Be able t demnstrate extensive knwledge f the infrmatin cntained in the mst recent editin f The Cmplete Guide t Public Safety Cycling. Obtain the endrsement f yur certifying IPMBA Instructr r anther certified IPMBA Instructr familiar with his/her skills and experience. Obtain the endrsement and supprt f yur department.* * Any individual wh has retired r separated frm their department in gd standing must prvide fficial dcumentatin f having been an active public safety cyclist fr five years part-time, r three years full-time, and must apply fr the Instructr Curse within 24 mnths after separatin. (Official dcumentatin cnsists f a letter frm the chief, HR, r designee wh can attest t time n, departure in gd standing, and departmental supprt.) IPMBA Instructr Applicatin Checklist Please include the fllwing items in yur applicatin packet: Yur cmpleted IPMBA Instructr Applicatin, printed legibly r typed. Yur $125 applicatin fee (acceptable frms f payment: check, mney rder, purchase rder, Mastercard r Visa). Yur cmpleted Membership & Certificatin Applicatin frm and fee (if yu are nt already a certified member). A recmmendatin letter frm yur department that: a) expresses supprt fr yur instructr applicatin and attests t yur qualificatins; 2) verifies hw lng yu have been n bike duty and the apprximate number f hurs per week (r mnth) yu wrk n the bike, and 3) recgnizes the respnsibilities f an IPMBA Instructr, including uphlding IPMBA s training standards, prmting certificatin, and teaching at least ne apprved curse every 24 mnths. See page 13 f this packet fr a sample letter. The IPMBA Instructr Applicatin Instructr Recmmendatin Frm (included in this packet), cmpleted by the IPMBA Instructr wh cnducted the curse that yu attended. Other dcumentatin (letters, certificatins, etc.) that yu feel wuld supprt yur applicatin (ptinal). Yur IPMBA membership dues and certificatin fee, if applicable. If yu are already an IPMBA-certified Plice, EMS, r Security Cyclist, it is nt necessary t include the $15 certificatin fee. Page 5 f 14

10 Internatinal Plice Muntain Bike Assciatin Instructr Applicatin Please cmplete this applicatin fully and accurately. Yu may attach additinal pages as necessary. In rder fr yur applicatin t be prcessed, yur applicatin packet must cntain each f the items specified n the IPMBA Instructr Applicatin Checklist. Applicatins lacking any f the required items will be returned and/r subject t prcessing delays. Name: Hme Address: City, State, ZIP: Hme Persnal Phne: Cell Department Name: Department Address: City, State, ZIP: Dept. Phne: Dept. Fax: Check ff what applies t yu! 1. I am a current IPMBA Member (member # ) jining IPMBA (my dues are enclsed) renewing IPMBA (my dues are enclsed) 2. I am an IPMBA-Certified Plice, EMS, r Security Cyclist nt IPMBA-Certified yet, but my Plice/EMS/Security Cyclist certificatin applicatin and fee are enclsed. awaiting my certificate. I submitted Membership and Certificatin Applicatin n /. 3. I am a member f a plice bike unit (eligible fr PCI status) a member f an EMS bike unit (eligible fr EMSCI status) a member f an Security bike unit (eligible fr SCI status) Have yu included This page f the applicatin Yur Cycling Experience Questinnaire A letter f recmmendatin and supprt frm yur department Cmpleted Instructr Recmmendatin frm Additinal dcumentatin t supprt yur applicatin (ptinal) Yur $125 applicatin fee* Yur $55 membership dues* (if yu are nt a member r if yur membership has expired) Cmpleted Membership & Certificatin Applicatin Frm and $15 fee* (if yu are nt already a certified member) Yur curse registratin frm and tuitin (if yu als registering fr a specific Instructr Curse) *Fees are nn-refundable Payment Infrmatin $125 IPMBA Instructr Applicatin Fee* $55 Membership Dues* (fr new & renewing members) $15 Basic Cyclist Certificatin Fee* (if applicable) $ Ttal Enclsed Check MC/Visa l l l l l l l l l l l l l l l l l Exp: / CV Cde: Address fr Receipt: I have answered all f the questins n the attached questinnaire as accurately as pssible. I have read and am able t demnstrate extensive knwledge f The Cmplete Guide t Public Safety Cycling. I scred at least a 90% n my PC/EMSC/SC written test. I am a P.O.S.T. (r equivalent) licensed law enfrcement fficer, r an active firefighter, EMT r paramedic, r am emplyed as a security fficer by a prprietary r cntract security prvider. Signature Date: Please mail t: IPMBA Instructr Applicatin ~ 583 Frederick Rd., Suite 5B ~ Baltimre MD Questins? Call r inf@ipmba.rg Page 6 f 14

11 IPMBA Instructr Applicatin Cycling Experience Questinnaire 1. I have been a Plice Officer/EMS prvider/security fficer fr: 0-12 mnths mnths 3-5 years mre than 5 years (hw many? ) 2. I have been n bicycle duty fr: years, mnths full time part time Please specify hw lng yu have been n full-time bike duty and hw lng yu have been n part-time bike duty. Yu may include n-bike experience with a previus department and/r prir t cmpleting the IPMBA curse. Cmments: 3. My current level f aerbic fitness is: pr fair average abve average excellent 4. My recreatinal bicycling mileage in the past twelve mnths was abut: miles miles miles mre than 1500 miles I dn t knw 5. My wrk-related bicycling mileage in the past twelve mnths was abut: miles miles miles mre than 1500 miles I dn t knw 6. My recreatinal bicycling mileage in the past five years was abut: miles miles miles mre than 7500 miles I dn t knw 7. My wrk-related bicycling mileage in the past five years was abut: miles miles miles mre than 7500 miles I dn t knw 8. In the past five years, percent f my ttal bicycling miles were ridden in urban r suburban areas: 0-10 percent percent percent mre than 50 percent I dn t knw 9. The mst miles I have ever bicycled in a single day in the last tw years is apprximately: 0-40 miles miles miles mre than 120 miles 10. My current slw speed riding skills are: pr fair average abve average excellent 11. I have had the fllwing types/years f cycling experience: Patrl Related years Utilitarian Cycling (errands r cmmuting) years Recreatinal Club Rad Rides years Recreatinal Off-Rad Rides years Sl r Grup Turing years Racing r Fitness Training years BMX years Page 7 f 14

12 12. The fllwing statement best describes my experience maintaining and repairing bicycles: Smene else adjusts and maintains my bike fr me. I perfrm minr repairs and rutine maintenance n my bike, but I have never verhauled it (disassembled, cleaned and re-lubricated the chain and bearings). I have verhauled my bike (als pssibly thse f thers), but nt as a paid mechanic. I have been a paid bike mechanic, either in a bike shp r elsewhere. 13. I am presently invlved in cycling. Yes N My invlvement with recreatinal cycling includes: My invlvement with cycling fr a public safety bike unit includes: I belng t the fllwing bicycle clubs: 14. Plice, EMS, and Security Cyclist Curses are taught by certified IPMBA Instructrs. Thse in attendance typically take the Natinal Plice/EMS/Security Cyclist multiple chice exam and a rad test. The fllwing best describes my experience with the IPMBA Basic Cyclist Curse: I have never attended an IPMBA Basic Cyclist Curse and have nt passed* the Natinal Plice/EMS/Security Cyclist Exam & Rad Test. I have passed* the Natinal Plice/EMS/Security Cyclist Exam & Rad Test administered by a Certified IPMBA Instructr. Scre n written test: Test Date(s): Lcatin(s): Instructr(s): *Minimum passing grade is 76%. Minimum required fr Instructr eligibility is 90%. 15. I am an IPMBA-certified Plice, EMS, r Security Cyclist: Yes, and I have attached a cpy f my IPMBA issued Plice/EMS/Security Cyclist Certificate. Nt yet, but I sent my applicatin t IPMBA headquarters n / /. Nt yet, but my Membership & Certificatin Applicatin & fee are enclsed. 16. I am currently a member f IPMBA: Yes. Membership Number: N, but my renewal is enclsed. N, but I am jining with the enclsed Membership & Certificatin Applicatin. 17. Please list any ther (nn-ipmba) bicycle training classes yu have cmpleted. Page 8 f 14

13 18. In this questin, a curse means a series f classes held n separate days fr the same grup f students. The fllwing statement best describes my teaching r public speaking experience: I have n experience in public speaking r teaching. I am a state-certified instructr r have cmpleted an instructr develpment curse. Date Lcatin Certificate Number (Enclse a cpy f yur certificate) I have public speaking experience but have never taught a wrkshp, seminar, r curse. Describe: I have taught wrkshps and/r seminars, but never a curse. Describe: I have prfessinal teaching experience, r have taught ne r mre curses as a vlunteer, but I have never taught a bicycling curse. Describe: I have taught ne r mre curses n bicycling subjects. Describe (include hurs f instructin): 19. My knwledge f bike fit is: pr fair average utstanding excellent 20. Why are yu seeking certificatin as an IPMBA Instructr? Describe: Page 9 f 14

14 IPMBA Instructr Applicatin Instructr Recmmendatin Frm (T be cmpleted by applicant s certifying IPMBA Instructr r anther active IPMBA Instructr) Applicant s Name: Department: The abve-named applicant is applying fr acceptance int the IPMBA Instructr Curse. Yur recmmendatin is an imprtant part f this applicatin. Please answer the fllwing questins accurately, hnestly and bjectively. Yu may attach additinal sheets as necessary. If yu prefer, yu may write a letter f recmmendatin instead f using this frm. Please d nt take yur recmmendatin lightly; if yu are nt cmfrtable prviding a recmmendatin fr the student, please indicate the ratinale fr yur decisin in the Additinal Cmments prtin f the frm. Where a rating scale is prvided, please cnsider five (5) t be the highest scre. 1. Please rate the applicant n his/her enthusiasm fr bikes, bicycle duty, and the IPMBA Curse Cmments: 2. Please rate the applicant s n-bike skills Cmments: 3. Please rate the applicant s traffic cycling skills Cmments: 4. Please cmment n the applicant s skill r aptitude fr bike repairs, if knwn. Cmments: 5. Please cmment n the applicant s aptitude fr the material, based upn written and verbal testing and perfrmance during the class. Cmments: Page 10 f 14

15 6. In yur pinin, what strengths des the applicant pssess that wuld qualify him/her t be certified as an IPMBA Instructr? Cmments: 7. In yur pinin, in which area(s) des the applicant need imprvement? Cmments: 8. What is yur verall impressin f the applicant s suitability as an IPMBA Instructr? Cmments: Please use the space belw fr additinal cmments, if desired. Signature: Printed Name: Instructr Number: Address: Telephne Number: Please return this frm t the applicant fr inclusin in his/her applicatin packet. If yu prefer, yu may mail r fax it t: IPMBA 583 Frederick Rad, Suite 5B Baltimre MD Ph: /Fax Page 11 f 14

16 IPMBA Membership and Certificatin Applicatin Cmplete this frm nly if yu have successfully cmpleted an IPMBA Plice, EMS, r Security Cyclist Curse and have nt yet becme an IPMBA-certified Cyclist. BENEFITS INCLUDE: Listing in IPMBA s Natinal Registry f Certified Plice/EMS/Security Cyclists Official IPMBA Plice, EMS, r Security Cyclist Certificate IPMBA News (features training tips, prduct reviews, and mre!) A subscriptin t Bicycling Magazine* Discunted registratin t IPMBA s Annual Cnference Members-nly discunts n equipment and gear IPMBA member decals *A $10 value; US addresses nly. Name Title Hme Address City State Zip/Cuntry Hme Phne ( ) Cell Phne ( ) Department Department Address City State Zip/Cuntry Dept. Phne ( ) Dept. Fax ( ) Membership Number (fr current IPMBA members) I have taken the minimum 32-hur Plice EMS Cyclist Curse, r the 24-hur Security Cyclist Curse and passed (minimum 76%) the Natinal Plice, EMS, r Security Cyclist Written and On-Bike Examinatins. If the fllwing infrmatin is missing, yur certificate WILL NOT be prcessed: Primary IPMBA Instructr: IPMBA Instructr s Number: Dates f the Curse: Mnth Dates Year Lcatin f Curse: IPMBA certificatin is available t IPMBA members nly. IPMBA membership is pen t individuals nly. Membership materials will be mailed t yur hme address. (Allw 6 8 weeks) Mail frm t: IPMBA 583 Frederick Rd. Suite 5B Baltimre MD r- Fax credit card inf t: I wuld like t becme an IPMBA-Certified Plice, EMS, r Security Cyclist and jin IPMBA s Registry f Certified Public Safety Cyclists. (Certificatin is nly available t current, renewing, r jining members.) $55.00 IPMBA Membership Fee $15.00 $ 5.00 $ 5.00 $ 5.00 $ TOTAL Certificatin Fee (Membership required fr Certificatin) Plice Cyclist Pin ( gld r silver) EMS Cyclist Pin (gld nly) Security Cyclist Pin (silver nly) PAYMENT METHOD (U.S. FUNDS ONLY) Check r mney rder (payable t IPMBA) Visa / MasterCard (circle ne) Name n Credit Card (please print): Address fr Receipt: Credit Card Number: Expiratin: / Cde: Signature: Billing Address: Hme Department Federal Tax ID: Page 12 f 14

17 Internatinal Plice Muntain Bike Assciatin Sample Letter f Departmental Supprt and Recmmendatin The letter f recmmendatin must: a) express supprt fr yur instructr applicatin and attest t yur qualificatins; 2) verify hw lng yu have been n bike duty and the apprximate number f hurs per week (r mnth) yu wrk n the bike, and 3) recgnize the respnsibilities f an IPMBA Instructr, including uphlding IPMBA s training standards, prmting certificatin, maintaining current IPMBA membership, and teaching at least ne apprved curse every 24 mnths. Jhn Smith Chief f Plice/Directr f EMS/Security Directr Biketwn, USA Mnth, Day, Year Educatin Directr IPMBA 583 Frederick Rad, Suite 5B Baltimre MD Dear Educatin Directr: Officer/Paramedic Steve Jnes has been emplyed by the Biketwn Plice/Fire Department/Security Team fr 10 years. He was assigned t the bike unit tw years ag and rides hurs per week/20-25 events per year. He has demnstrated strng leadership within the unit, and has expressed a strng interest in becming a certified IPMBA Instructr. He has served as an aide t the IPMBA Instructrs frm Cycle City twice this year, and has been prpsing an annual in-service training requirement fr all bike persnnel. We wuld like t adpt such a plicy, but we currently lack an in-huse instructr. Officer/Paramedic Jnes is an ideal candidate due t his n- and ff-duty time spent riding as well as his enthusiasm. I supprt Officer/Paramedic Jnes effrts t imprve his skills and ur bike unit by attending the IPMBA Instructr Curse. I understand that the curse is a rigrus ne, but I am cnfident that he pssesses the necessary skills and knwledge t succeed. I als understand that, as an IPMBA instructr, he will be required t maintain IPMBA s high standards and meet minimum requirements t maintain his certificatin (currently, teaching at least ne apprved class every twenty-fur mnths and maintaining current IPMBA membership). This department will supprt his prfessinal develpment, and that f thse he teaches, by enabling him t participate in future IPMBA training sessins. It is ur belief that, by serving as instructr, Officer/Paramedic Jnes will help us maintain ur bike unit as a way t fster gd relatins with citizens thrugh psitive interactin and innvative law enfrcement/emergency medical services delivery. Thank yu fr yur cnsideratin. Sincerely, Chief Jhn Smith Page 13 f 14

18 Internatinal Plice Muntain Bike Assciatin Equivalency Requirements fr the IPMBA Plice, EMS r Security Cyclist Curse Individuals wh wish t becme IPMBA Instructrs but have nt cmpleted the IPMBA Plice, EMS, r Security Cyclist Curse may request that ther frmal bicycle training* and experience be substituted fr IPMBA Plice, EMS r Security Cyclist Certificatin. Appeal Prcess: Yu must submit, in additin t the cmpleted IPMBA Instructr Applicatin and required dcumentatin, the fllwing items: a letter f interest detailing yur relevant qualificatins, training, and experience, addressed t the IPMBA Educatin Cmmittee a cpy f the curse utline, lessn plan, and any related handuts frm yur certificatin curse a cpy f yur curse certificate the name, address, telephne number and address f yur lead instructr dcumentatin that yu have been active n bike duty since the date f yur certificatin curse Yu must als make arrangements with an active IPMBA Instructr t take the written and practical IPMBA tests. Yu must scre at least a 90% n the written test and demnstrate abve-average prficiency with the n-bike skills. Yu must btain a psitive recmmendatin frm the IPMBA Instructr wh tests yu. Cntact the IPMBA ffice t lcate an instructr in yur area. * Minimum 32 hurs fr Plice r EMS; 24 hurs fr Security. LEBA Class A certificatin is pre-apprved. Cntact the IPMBA ffice with questins abut ther curricula. Applicants wh have cmpleted the 24-hur LEBA Class B, CAN-Bike II, COBWEB, IAMBU r ther apprved 24-hur curses may cntact the IPMBA ffice fr infrmatin abut the IPMBA 16-hur "bridge" class. All f the abve items must be included in yur applicatin packet if yur appeal is t be cnsidered. Yur packet will be frwarded t the IPMBA Educatin Cmmittee fr review, and a determinatin will be made based upn the curse cntent and yur experience. Yu will be ntified f the status f yur request within 30 days. If yu wuld like t discuss yur training and qualificatins befre submitting yur applicatin, please cntact the Educatin Directr at educatin@ipmba.rg r cntact IPMBA HQ at Page 14 f 14

19 Physical Activity Readiness Questinnaire - PAR-Q (revised 2002) PAR-Q & YOU (A Questinnaire fr Peple Aged 15 t 69) Regular physical activity is fun and healthy, and increasingly mre peple are starting t becme mre active every day. Being mre active is very safe fr mst peple. Hwever, sme peple shuld check with their dctr befre they start becming much mre physically active. If yu are planning t becme much mre physically active than yu are nw, start by answering the seven questins in the bx belw. If yu are between the ages f 15 and 69, the PAR-Q will tell yu if yu shuld check with yur dctr befre yu start. If yu are ver 69 years f age, and yu are nt used t being very active, check with yur dctr. Cmmn sense is yur best guide when yu answer these questins. Please read the questins carefully and answer each ne hnestly: check YES r NO. YES NO 1. Has yur dctr ever said that yu have a heart cnditin and that yu shuld nly d physical activity recmmended by a dctr? 2. D yu feel pain in yur chest when yu d physical activity? 3. In the past mnth, have yu had chest pain when yu were nt ding physical activity? 4. D yu lse yur balance because f dizziness r d yu ever lse cnsciusness? 5. D yu have a bne r jint prblem (fr example, back, knee r hip) that culd be made wrse by a change in yur physical activity? 6. Is yur dctr currently prescribing drugs (fr example, water pills) fr yur bld pressure r heart cnditin? 7. D yu knw f any ther reasn why yu shuld nt d physical activity? If yu answered NO t all questins YES t ne r mre questins Talk with yur dctr by phne r in persn BEFORE yu start becming much mre physically active r BEFORE yu have a fitness appraisal. Tell yur dctr abut the PAR-Q and which questins yu answered YES. Yu may be able t d any activity yu want as lng as yu start slwly and build up gradually. Or, yu may need t restrict yur activities t thse which are safe fr yu. Talk with yur dctr abut the kinds f activities yu wish t participate in and fllw his/her advice. Find ut which cmmunity prgrams are safe and helpful fr yu. If yu answered NO hnestly t all PAR-Q questins, yu can be reasnably sure that yu can: start becming much mre physically active begin slwly and build up gradually. This is the safest and easiest way t g. take part in a fitness appraisal this is an excellent way t determine yur basic fitness s that yu can plan the best way fr yu t live actively. It is als highly recmmended that yu have yur bld pressure evaluated. If yur reading is ver 144/94, talk with yur dctr befre yu start becming much mre physically active. PLEASE NOTE: If yur health changes s that yu then answer YES t any f the abve questins, tell yur fitness r health prfessinal. Ask whether yu shuld change yur physical activity plan. N changes permitted. Yu are encuraged t phtcpy the PAR-Q but nly if yu use the entire frm. DELAY BECOMING MUCH MORE ACTIVE: if yu are nt feeling well because f a temprary illness such as a cld r a fever wait until yu feel better; r if yu are r may be pregnant talk t yur dctr befre yu start becming mre active. Infrmed Use f the PAR-Q: The Canadian Sciety fr Exercise Physilgy, Health Canada, and their agents assume n liability fr persns wh undertake physical activity, and if in dubt after cmpleting this questinnaire, cnsult yur dctr prir t physical activity. NOTE: If the PAR-Q is being given t a persn befre he r she participates in a physical activity prgram r a fitness appraisal, this sectin may be used fr legal r administrative purpses. "I have read, understd and cmpleted this questinnaire. Any questins I had were answered t my full satisfactin." NAME _ SIGNATURE SIGNATURE OF PARENT r GUARDIAN (fr participants under the age f majrity) DATE WITNESS Nte: This physical activity clearance is valid fr a maximum f 12 mnths frm the date it is cmpleted and becmes invalid if yur cnditin changes s that yu wuld answer YES t any f the seven questins. Canadian Sciety fr Exercise Physilgy Supprted by: Health Canada Santé Canada cntinued n ther side...

20 ...cntinued frm ther side PAR-Q & YOU Physical Activity Readiness Questinnaire - PAR-Q (revised 2002) CANADA S Physical Act ivit y Guide Physical activity imprves health. Every little bit cunts, but mre is even better everyne can d it! Get active yur way build physical activity int yur daily life... at hme at schl at wrk at play n the way...that s active living! t H e a l t h y A c t i v e L i v i n g Increase Endurance Activities Increase Flexibility Activities Increase Strength Activities Reduce Sitting fr lng perids Chse a variety f activities frm these three grups: Endurance 4-7 days a week Cntinuus activities fr yur heart, lungs and circulatry system. Flexibility 4-7 days a week Gentle reaching, bending and stretching activities t keep yur muscles relaxed and jints mbile. Strength 2-4 days a week Activities against resistance t strengthen muscles and bnes and imprve psture. Starting slwly is very safe fr mst peple. Nt sure? Cnsult yur health prfessinal. Fr a cpy f the Guide Handbk and mre infrmatin: , r Eating well is als imprtant. Fllw Canada s Fd Guide t Healthy Eating t make wise fd chices. Get Active Yur Way, Every Day Fr Life! Scientists say accumulate 60 minutes f physical activity every day t stay healthy r imprve yur health. As yu prgress t mderate activities yu can cut dwn t 30 minutes, 4 days a week. Add-up yur activities in perids f at least 10 minutes each. Start slwly and build up. Very Light Effrt Strlling Dusting Time needed depends n effrt Mderate Effrt Vigrus Effrt minutes minutes Light Effrt 60 minutes Light walking Brisk walking Vlleyball Biking Easy gardening Raking leaves Stretching Swimming Dancing Water aerbics Yu Can D It Getting started is easier than yu think Physical activity desn t have t be very hard. Build physical activities int yur daily rutine. Walk whenever yu can get ff the bus early, use the stairs instead f the elevatr. Reduce inactivity fr lng perids, like watching TV. Get up frm the cuch and stretch and bend fr a few minutes every hur. Play actively with yur kids. Chse t walk, wheel r cycle fr shrt trips. Benefits f regular activity: better health imprved fitness better psture and balance better self-esteem weight cntrl strnger muscles and bnes feeling mre energetic relaxatin and reduced stress cntinued independent living in later life Aerbics Jgging Hckey Basketball Fast swimming Fast dancing Range needed t stay healthy Start with a 10 minute walk gradually increase the time. Find ut abut walking and cycling paths nearby and use them. Observe a physical activity class t see if yu want t try it. Try ne class t start yu dn t have t make a lng-term cmmitment. D the activities yu are ding nw, mre ften. Health risks f inactivity: premature death heart disease besity high bld pressure adult-nset diabetes steprsis strke depressin cln cancer Maximum Effrt Sprinting Racing Health Canada Santé Canada Canadian Sciety fr Exercise Physilgy N changes permitted. Permissin t phtcpy this dcument in its entirety nt required. Cat. N. H39-429/1998-1E ISBN CANADA S Physical Activity Guide t H e a l t h y A c t i v e L i v i n g Surce: Canada's Physical Activity Guide t Healthy Active Living, Health Canada, Reprduced with permissin frm the Minister f Public Wrks and Gvernment Services Canada, FITNESS AND HEALTH PROFESSIONALS MAY BE INTERESTED IN THE INFORMATION BELOW: The fllwing cmpanin frms are available fr dctrs' use by cntacting the Canadian Sciety fr Exercise Physilgy (address belw): The Physical Activity Readiness Medical Examinatin (PARmed-X) t be used by dctrs with peple wh answer YES t ne r mre questins n the PAR-Q. The Physical Activity Readiness Medical Examinatin fr Pregnancy (PARmed-X fr Pregnancy) t be used by dctrs with pregnant patients wh wish t becme mre active. References: Arraix, G.A., Wigle, D.T., Ma, Y. (1992). Risk Assessment f Physical Activity and Physical Fitness in the Canada Health Survey Fllw-Up Study. J. Clin. Epidemil. 45: Mttla, M., Wlfe, L.A. (1994). Active Living and Pregnancy, In: A. Quinney, L. Gauvin, T. Wall (eds.), Tward Active Living: Prceedings f the Internatinal Cnference n Physical Activity, Fitness and Health. Champaign, IL: Human Kinetics. PAR-Q Validatin Reprt, British Clumbia Ministry f Health, Thmas, S., Reading, J., Shephard, R.J. (1992). Revisin f the Physical Activity Readiness Questinnaire (PAR-Q). Can. J. Spt. Sci. 17: Fr mre infrmatin, please cntact the: Canadian Sciety fr Exercise Physilgy Smerset Street West Ottawa, ON K2P 0J2 Tel FAX (613) Online: The riginal PAR-Q was develped by the British Clumbia Ministry f Health. It has been revised by an Expert Advisry Cmmittee f the Canadian Sciety fr Exercise Physilgy chaired by Dr. N. Gledhill (2002). Dispnible en français sus le titre «Questinnaire sur l'aptitude à l'activité physique - Q-AAP (revisé 2002)». Canadian Sciety fr Exercise Physilgy Supprted by: Health Canada Santé Canada

21 INTERNATIONAL POLICE MOUNTAIN BIKE ASSOCIATION MEDICAL CLEARANCE FORM If yu answered Yes t any f the questins n the PAR-Q, yu must have this frm cmpleted prir t enrlling in the IPMBA Cnference. If yu answered N t all f the questins n the PAR-Q, it is nt necessary t return this frm. Curse Date: IPMBA Instructr Curse, August 19-23, 2013, Tempe AZ Dear Medical Prfessinal: The persn yu are nw seeing wuld like t participate in n-bike training activities develped by the Internatinal Plice Muntain Bike Assciatin (IPMBA) and taught by a certified IPMBA Instructr. Because this persn answered yes t ne r mre questins n the Physical Activity Readiness Questinnaire (PAR-Q), medical clearance is required t participate in the training. Please be aware that IPMBA Curses are physically demanding, requiring an extensive amunt f n-bike exercises, in the frm f rides (bth n- and ff-rad) and varius bike-handling drills. The curses range in duratin frm three t five days. Based n this individual's medical histry and current medical status, please cnduct an apprpriate medical screening and indicate belw whether in yur pinin, he/she is apprved t attend this training: Patient s Name: Yes, this persn has been screened and is apprved attend the training curse. N, this persn has been screened and is nt apprved t attend this training curse. Signature: Date: Name, Printed: Address: Telephne: Please fill ut and return immediately t: IPMBA Attentin: IPMBA Instructr Curse Address: 583 Frederick Rad, Suite 5B, Baltimre MD Phne: ~ FAX: ~ events@ipmba.rg Please send a cpy f this cmpleted frm t the individual screened. Any questins shuld be addressed t the abve-listed cntact persn. Thank yu fr yur assistance. IPMBA 583 Frederick Rd., Suite 5B, Baltimre MD Fax inf@ipmba.rg

22 Illinis St. DOWNTOWN INDIANAPOLIS RESTAURANTS 42 Map spnsred by: 16th St. INTERSTATE 65 17th St. 16th St. 16th St. indicates PNC ATM lcatins Dr. Martin Luther King St. Chicag, IL 15th St. 14th St. 13th St. Senate Ave. 12th St. Capitl Ave. Meridian St. Pennsylvania St. Delaware St. President Benjamin Harrisn Hme Alabama St. 14th St. 12th St. Central Ave. 15th St. 13th St. Mrris-Butler Huse Cllege Ave. Clumbus, OH INTERSTATE 70 Crispus Attucks Museum 11th St. 11th St. INTERSTATE 65 10th St. 10th St. Central Canal 10th St. Indiana Ave. 9th St Central Library St. Clair St. Michigan St. IU Michael A. Carrll Track & Sccer Stadium University Blvd. Indianaplis Z & White River Gardens Washingtn St. Walnut St. Nrth St. Blake St. New Yrk St. IU Natatrium White River State Park Indiana University Purdue University Indianaplis (IUPUI) White River Blake St. NCAA Headquarters & Hall f Champins CONVENTION FACILITIES HOTELS ATTRACTIONS SKYWALKS? VISITOR INFORMATION INDIANAPOLIS CULTURAL TRAIL Pedestrian Bridge The Lawn? Blackfrd St. Visitrs Center Military Park Central Canal Indiana State Museum & IMAX Theater 37 JW Marritt Dwntwn Indianaplis Curtyard by Marritt Dwntwn Indianaplis Fairfield Inn & Suites Dwntwn Indianaplis SpringHill Suites Dwntwn Indianaplis Madame Walker Theatre Center Eiteljrg Museum 22 Marritt Place Indianaplis L Victry Field Baseball Park Merrill St. West St. West St. West St. C 53 Michigan St. Suth St. Missuri St. Senate Ave. Walnut St. Nrth St. LUCAS OIL STADIUM Capitl Ave. Capitl Ave. Luisiana St. Illinis St. Illinis St. Merrill St. Meridian St. Meridian St. Meridian St. Madisn Ave. Pennsylvania St. Pennsylvania St. Frt Wayne Ave. Vermnt St. Curtyard 2 by Marritt University 6 Residence Park Inn by Marritt New Yrk St. Indiana 36 Histry Center Ohi St. N Clumbia Club Sheratn Hiltn Hiltn 38 Garden City Inn Market Indiana H G State Market St. Mnument Capitl Circle Embassy Suites Cnrad F3959 Washingtn St.? D Circle 25 Hyatt Marritt Westin Centre Regency Mall K P J Maryland St Hamptn Inn Canterbury INDIANA CONVENTION 49 B 32 Gergia St. Bankers Life Fieldhuse CENTER 31 Omni57 41 Hliday Inn Express Cmfrt Suites Staybridge Suites E Crwne Plaza Scttish Rite Cathedral Severin American Legin Mall Veterans Memrial Plaza Indiana Wrld War Memrial Hmewd Suites Jacksn Place M Unin 5Statin Delaware St. Delaware St. The Alexander W Alabama St. Old Natinal Centre Virginia Ave. A 9 Suth St. New Jersey St. Massachusetts Ave. N S 66 LaQuinta Inn E 47 East St. East St Cllege Ave. Cllege Ave. Easley Winery Sun King Brewery INTERSTATE 65 INTERSTATE 70 Michigan St. Vermnt St. New Yrk St. Ohi St. Market St. Washingtn St. Fletcher Ave. St. Luis, MO Kentucky Ave. White River INTERSTATE 70 McCarty St Madisn Ave. East St. 8 Luisville, KY INTERSTATE 65 Virginia Ave. Mrris St. Fr infrmatin abut things t see and d in Indianaplis, g t visitindy.cm. Visit Indy 04/13