SLSNR Examiner and Club Instructor Registration Form 2018 - 2019

1. Applicant Details

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* 1. Please complete the following personal details:

First Name

Surname

Email Address

Mobile Phone Number

SLSNZ ID

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* 2. Please identify your club

To complete this registration you must be either:
1. A qualified Surf Lifeguard Award or IRB Instructor
and/or
2. A qualified Surf Lifeguard Award or IRB Examiner

3. Alternatively you must be intending to complete your Instructors or Examiners qualification this season.

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* 3. Where do you live? (to determine which beaches you are close to)

Suburb

City

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* 4. Please adivse of your current qualifications

SLA Instructor

IRB Instructor

SLA Examiner

IRB Examiner

I want to become a Surf Lifeguard Instructor

I want to become an IRB Instructor

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* 5. What roles do you intend on filling this season?

SLA Instructor

SLA Examiner

IRB Examiner

IRB Instructor

I want to become a Surf Lifeguard Instructor

I want to become an IRB Instructor

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* 6. Have you been the Examiner in Charge within the last 2 seasons?

Yes

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* 7. If you are aiming to become an Instructor this season, please click 'Yes' and follow this link to Instructor's Training Process

Yes

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* 8. If you are aiming to become an Examiner this season, please click 'Yes' and follow this link to Probationary Examiners Application Form. (Please note: this form should be sent to training@lifesaving.org.nz).

Yes

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* 9. If registering as an examiner, what size polo do you wear? (mens = letters, womens = numbers)

XXL

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* 10. If registering as an examiner, what size jacket do you wear?

2XL