2024 Instructor Application Online Submission Form

Please note, this form is necessarily detailed. Please gather all information before attempting to complete it as you cannot save as you go.

Name*

First Last

Phone*

Email*

Date Of Birth*

Dinghy Instructor Certificate*

Yes
No

Do you currently hold a dinghy instructor cert. Please tick the appropriate box above.

Dinghy Instructor Certificate Date of Expiry*

Advanced Dinghy Instructor Certificate*

Yes
No

Do you currently hold an advanced dinghy instructor cert. Please tick the appropriate box above.

Advanced Dinghy Instructor Certificate Date of Expiry*

First Aid Certificate*

Yes
No

Do you currently hold a first aid cert. Please tick the appropriate box above.

First Aid Certificate Date of Expiry*

Powerboat Certificate*

Yes
No

Do you currently hold a powerboat cert. Please tick the appropriate box above.

Powerboat Certificate Date Completed*

VHF Licence*

Yes
No

Do you currently hold a vhf licence. Please tick the appropriate box above. You are required to hold a VHF licence to instruct on the Club junior sailing courses

VHF Licence Date Completed*

Safeguarding Certificate*

Yes
No

Do you currently hold a safeguarding cert. Please tick the appropriate box above.

Safeguarding Certificate Date of Expiry*

Garda Vetting*

Yes
No

Do you currently Garda Vetted. Please tick the appropriate box above.

Garda Vetting Date of Expiry*

A copy of each of your instructor qualification forms must be emailed to miriam@royalcork.com

Please tick Yes or No below to indicate the courses on which you are available to instruct

What position are you applying for*

Instructor
Advanced Instructor
Helper

Instructor (only qualified instructors may tick this box ie you must have all your dinghy instructor certs) Advanced Instructor (only qualified instructors may tick this box ie you must have all your advanced dinghy instructor certs) Helper (Please tick this box if you are in the process of becoming an instructor but have not yet completed all your instructor certifications)

Junior Sailing Courses - June (24th - 28th)*

Yes
No

Junior Sailing Courses - July (1st - 12th)*

Yes
No

Junior Sailing Courses - August (12th - 23rd)*

Yes
No

Schools Sailing Programme June (10th - 14th)*

Yes
No

Cadet Club (Under 12s on Monday Evenings from June to August)*

Yes
No

Adult Sailing Programme ( Wednesday Evenings from June to August)*

Yes
No