KDWP Outdoor Education Instructor Application Thank you for your interest in becoming a Kansas Outdoor Education volunteer instructor. Instructors play an important role to continuing the American heritage of responsible and safe hunting, fishing, boating and trapping. This is truly a rewarding experience, as one helps students take this necessary step in developing the skills and knowledge to be hunters, anglers, boaters and trappers. Please read these instructions, complete the application and submit it to start the certification process. ELIGIBILITYAll potential applicants must meet the following qualifications: Be at least 18 years of age to be a Hunter Education instructor. Must be 21 years of age to be a Boater Education instructor. Those under the age of 18 will automatically be considered "apprentice instructors," until they turn 18 Be of good moral character and have no serious legal convictions A criminal background check, wildlife violations background check, and sex offender registry check will be conducted. Violations do not always result in declining the application, but intentional omissions on this form will result in automatic disqualification Have good communication skills Experience preferred, but not required Must have a KDWP Customer ID # Must have successfully completed a hunter/boater/furharvester and/or bowhunter education course before submitting an application. APPLICATION AND INITIAL SCREENING Complete the application and submit it electronically OR you may send a printed application to KDWP Education, 512 SE 25th Ave., Pratt, KS 67124. This application must be completed in its entirety; incomplete applications will be returned. Contact information must be accurate and up-to-date. If you have questions, please contact the Education staff at 620.672.0773 Once submitted and reviewed by staff, the applicant will be issued an instructor number and will be entered into pending status. All applicants will be subject to a criminal background check (NCIC & KBI). Individuals with a criminal history may be denied certifications using these guidelines: Any felony conviction will be grounds for disqualification; Applications will be held without action pending the outcome of unresolved charges; If any conviction or judgment results in loss of the right to own firearms the applicant is disqualified; Any person who has been adjudged a sexual offender is disqualified; Recent criminal activity (within 2 years) is evaluated based upon the severity of the problem Violation of any Wildlife and Parks Law or Regulation is evaluated based on its severity and its effect on the individual as a role model for the students. If the background checks are favorable, the applicant will be contacted by the education staff. With final approval from the coordinator, new instructors will be provided with next step instructions, including, but not limited to, new instructor training(s), that must be completed within 12 months from the application date. Instructors are also expected to attend an annual update meeting. Instructors are required to instruct at least one course per year. Instructors are required to maintain their certification status through workshops provided by KDWP or approved partners. Attendance or completion of a workshop(s) is required annually. By submitting this application, you agree to all education principles, policies, and standards set forth by the Kansas Department of Wildlife and Parks. Applicant Information Question Title * 1. I would like to be considered for (select all that apply) Hunter Education Instructor Bowhunter Education Instructor Furharvester Education Instructor Fishing Education Instructor Boating Education Instructor Question Title * 2. Last Name Question Title * 3. First Name Question Title * 4. Home Address Address * Address 2 City/Town * State/Province * ZIP/Postal Code * County * Email Address * Cellphone Number * Question Title * 5. Shipping address Shipping address is same as above Question Title * 6. Shipping address (only fill out if different; no PO Boxes will be accepted) Name Address Address 2 City/Town State/Province ZIP/Postal Code Question Title * 7. Date of Birth Question Title * 8. KDWP Customer ID # (link to look up) Question Title * 9. Race/Ethnicity American Indian or Alaska Native Asian or Asian American Black or African American Hispanic or Latino Middle Eastern or North African Native Hawaiian or other Pacific Islander White Another race Prefer not to say Question Title * 10. Gender Male Female Question Title * 11. I am fluent in speaking or writing the following languages Question Title * 12. I am competent in the use of American Sign Language and capable of interpreting for people with hearing impairments Yes No Question Title * 13. Photo/Model Release Form - Photographer has permission to photograph and video Model. All photographs and video, including audio recordings, (collectively, "Images") taken by Photographer will be the sole and perpetual property of the Kansas Department of Wildlife and Parks ("Department"), and Department's heirs, successors, assigns, and licensees. Yes No Next