1. Do you have an instructor name tag?	Yes No
2. Your phone numbers?	home cell fax
3. Your competition license status?	ICSCC # and grade SCCA grade
4. Years of competition experience?	years of driving years of instructing
5. Would you mentor a driving instructor?	Yes No
6. Types of vehicles raced in competition?            check all that apply	Yes No    small bore RWD Yes No    large bore RWD Yes No    front wheel drive Yes No    open wheel - FF, CF, FV, FFF Yes No    sports racing
7. Street driving experience?            check all that apply	Yes No    small bore RWD Yes No    large bore RWD Yes No    front wheel drive
8. Are you willing to instruct at a Ground School?	Yes No

9. What can we do to improve our Ground School?

10. What can we do to improve the on track instruction experience for our students?

11. Do you have any other suggestions?