2025 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 VALID dinghy instructor certificate. Please tick the appropriate box above.

Dinghy Instructor Certificate Date of Expiry*

Advanced Dinghy Instructor Certificate*

Yes
No

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

Safeguarding Certificate Date of Expiry*

Garda Vetting*

Yes
No

Do you currently hold a VALID Garda Vetting cert. 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

Junior Sailing Courses - June (23rd - 27th June)*

Yes
No

Junior Sailing Courses - July (30th June - 11th July 2025)*

Yes
No

Schools Sailing Programme June (9th - 13th June)*

Yes
No