BCSC Instructor Application

The results of this form will be sent to BCSC through your email program.

Personal Information:

Last: First:

E-mail:

Mailing Address:

City: State: Zip:

Home Address (if different):

City: State: Zip:

Phone: Cell Phone:

Desired Position: Check all that apply

Program Director

Sailing Camp Instructor (requires US SAILING Level 1 Certification)

Sailing Camp Assistant

Summer Camp Volunteer

Senior Racing Coach (requires US SAILING Level II Certification)

Optimist Coach (requires US SAILING Level II Certification)

Laser Coach (requires US SAILING Level II Certification)

Adult Program Instructor (requires US SAILING Level 1 Certification)

US SAILING Certification Number:

Are you 18 or older? Yes     No

What dates are you available? Start:   End:

Please tell us why you would like to instruct at BCSC and what you hope to gain from your association with us.

Sailing Experience:

Please provide as much detailed information as possible, including boat type (Opti, 420, Laser, etc) and type of sailing (day-sailing, racing, instructing, etc).

List any sailing related courses completed or certifications.

Racing Experience:

Please provide as much detailed information as possible, including boat type (Opti, 420, Laser, etc), position in boat (skipper, crew, etc) and results.

Instructor Experience:

Please list any sailing instruction experience, including the name of the organization, type of instruction, and age group.  Also include any non-sailing positions which may be of benefit.

List any safety courses completed (life saving, CPR, First aid) including certifying organization and date.

Work References:

Please list two recent employers. Provide company name, supervisor’s name, dates employed, phone and your duties.
1:

2:

Personal References:

Please list two personal references including name, phone number and their relationship to you.

1:

2.

By clicking the Submit button, I certify that all the information on this form is true.  I understand that giving false information is grounds for dismissal.  I give authorization to contact the references and/or employers listed above.  I understand that I will be subject to a background investigation.

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