Arizona Motorcycle Safety & Awareness Foundation

Accident Scene Management Application

$50.00

This is your AMSAF Accident Scene Management PROGRAM application.

You have the scholarship/grant!  Now, fill out this application and submit it. At the end you will pay the donation. Within 10 minutes or so, you will get two (2) receipts: a PayPal receipt and an AMSAF final order receipt.  Both receipts are sent to the email address used in PayPal.  (check closely the spelling of the emails used)  The AMSAF final receipt has instructions for the student and at the bottom is the code to share with the selected instructor.  

IF YOU NEED ANOTHER APPLICATION FOR ANOTHER INDIVIDUAL, PLEASE COMPLETE THIS ORDER FOR THE FIRST ONE AND PAY, THEN START OVER AND PLACE A NEW ORDER INTO THE PROGRAM.

In stock

Are you an Arizona Registered Resident? *

You must be an Arizona Registered Resident to be eligible for the AMSAF Accident Scene Management Program.

Understand Additional Costs *

I understand that with this Financial Assistance from AMSAF for the Accident Scene Management Program there could be additional costs from the School of choice in the Program.

County of Residence *

Applicants county of residence

Accident Scene Management School *

Select your training school. Be aware you MUST contact them to schedule your training and provide them your ASM code.

Applicant’s First Name *

Applicant’s Last Name *

Contact Phone *

Contact Email *

Street Address *

City *

Zip Code *

Are you a Veteran? *

Applicant’s Birth Date *

mm-dd-yyyy

Gender: *

Applicant’s Age *

Do you ride a motorcycle? *

Do you wear a helmet when riding? *

Have you taken a motorcycle training course? *

Are you aware of AMSAF’s Motorcycle training Scholarship program? *

Are you aware of AMSAF’s Financial Assistance Helmet Program? *

How did you hear about the Accident Scene Management Program? *

Why do you want to take the Accident Scene Management Course? *

SKU: ASM-APPLICATION Category:

Description

AMSAF’s Mission since the beginning has been to Educate the public on safety and awareness and help reduce crashes and fatalities in Arizona. In doing that we offer a motorcycle training financial assistance Scholarship program. This program allows individuals to get into motorcycle training at a reduced cost. This program continues to grow since its conception.

In 2020 we started offering a Helmet financial assistance program. Arizona is a State where you have a choice if you want to wear a helmet or not. AMSAF wanted to help those that wear a helmet or will be wearing one by creating a financial assistance program to help get them into a good DOT modular or full-face helmet. This program continues to grow since its conception.

In 2022, AMSAF would like to add another program to help with our Mission of Educating on Safety and Awareness. This year we will start to offer a program called Accident Scene Management. The purpose of this program is the following:

  • Reduce injuries and fatalities at the scene of the motor vehicle crashes.
  • Reduce rescuer injury at the scene of a crash.
  • Enhance the effectiveness of the EMS by having trained bystanders tend to the injured until professional help arrives.

We will offer financial assistance for two (2) courses:

  1. A crash course for the Motorcyclist (Basic)
    This is our most popular class. Learn what to do in the first 5-30 minutes after a crash until professional help arrives. Fully Instructor-Led (IL) by a certified ASM instructor, this 7-hour class (8 hours with lunch) teaches helmet removal, jaw thrust rescue breathing, moving the injured, controlling bleeding, and more. All skills are taught and practiced.
  2. Advanced Bystander Assistance (Advanced)
    Learn to be a leader at a scene as well as how to assist the EMS when they arrive. Advanced Airway Management, Common medical emergencies, assisting the EMS with Extrication, Femoral Traction, role play, and more are taught in this 7-hour instructor-led class (8 hours with a lunch break).

We look forward to working with Accident Scene Management and the community on helping make Arizona a safer place. Our goal is to continue helping the community with their budget on safety related programs through our numerous programs.

These programs are possible due to Grants, Sponsors, Donations, and other partners who want to help reduce crashes and fatalities in Arizona. TOGETHER we can make a difference.