Driving Instructor Application
Rocky MountainAlpine Mountain Regions
Porsche Club of America
Please provide all requested information and send to either:
Kathy Fricke,RMR-PCA Chief Driving Instructor
E-mail - (preferred method)
Address: 4651 Huey Circle Boulder, CO 80305
Phone: 303-499-6540 or Cell – 303-884-1152
Phil Rader, AMR-PCA Chief Driving Instructor
E-mail – (preferred method)
Phone: 719-685-3200 or Cell -
I. PERSONAL INFORMATION
Name: ______
Address: ______
City, State Zip:______
Home Phone:______Work Phone:______Cell Phone:______
E-mail:______
Drivers License State:______Number: ______Expiration Date:______
PCA Region:______Member Number:______Expiration:______
Year Joined PCA:______Year Joined RMR: ______
II. DRIVING EXPERIENCE
List RMR driver education events attended in 2009:
1. ______
2. ______
3. ______
4. ______
List RMR driver education events attended in 2008:
1. ______
2. ______
3. ______
4. ______
List RMR driver education events attended in 2007:
1. ______
2. ______
3. ______
4. ______
List other High Performance Driving Experience: (e.g. Vintage racing, club racing, etc. Please list approximate dates and number of events. Note that this is not a requirement for acceptance as a PCA driving instructor.)
Driving/Racing Schools Attended: (e.g. Bondurant, Russell, Go4It, etc. Note that this is not a requirement for acceptance as a PCA driving instructor.)
Competitive Licenses: (Note that this is not a requirement for acceptance as a PCA driving instructor.)
Familiarity with tracks used by RMR/AMR: (Specify number of times driven)
High Plains: ______
Pueblo: ______
La Junta: ______
PPIR: ______
Aspen: ______
Other tracks with which you are familiar:______
______
What Types/Models of Cars Have You Driven At Track Events? (Please list cars,
other than Porsche as well.)
III. KNOWLEDGE AND SKILLS
For the following items please rate your experience/confidence level using a 1 – 5 Scale:
(1 = Extremely Low; 5 = Extremely High)
A. Types of cars and equipment:
356:_____
911:_____
914:_____
924/944/968:_____
928:_____
Boxster:_____
Cayenne:_____
Turbocharged:_____
Race cars:_____
901 transmissions:_____
Tiptronic:_____
All Wheel Drive_____
B. Specific knowledge and skills:
Rate your overall driving skills:_____
Heel/toe gear changing:_____
Knowledge of suspension/handling dynamics:_____
Knowledge of Porsche mechanical systems:_____
Ability to diagnose a car's behavior:_____
D. Communication Skills
Ability to communicate verbally:_____
Ability to adapt to needs of students:_____
Ability to be patient:_____
Ability to motivate students:_____
Ability to deal with aggressive students:_____
Ability to deal with timid students:_____
IV. QUALITATIVE INFORMATION
Please respond briefly to each of the questions below:
Why do you want to be a PCA driving instructor?
What would be your most important strengths and weaknesses as an instructor?
What do you feel that you can contribute to the RMR/AMR driver education program?
How do you expect to benefit by service as a PCA driving instructor?
How many RMR/AMR driver education events to you expect to attend in the next year?
Additional Comments: