Cycle Right Application form

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This Form is an application form for the Cycle Right trainers course.

Please fill out all parts of the form.

Closing date is the 2nd of June at 5pm.

You will hear if your application has been successful shortly after the closing date.

Applicants Name *

Applicants Phone Number *

Applicants Email *

The following are requirements to practice as a Cycle Right Trainer:

Cycling Ireland Garda Vetting

Sport Ireland Safeguarding

Basic First Aid training

Tax Clearance Cert/ Proof of employment

Insurance

Cycling Ireland Membership

Signed Code of Practice

Annual Reg

Two qualified Cycle Right trainers

By completing this expression of interest you agree that you will have the following in order to conduct Cycle Right training if your application is accepted.

Yes

Please read about the Cycle Right programme here:

https://docs.google.com/document/d/1PprnpNRkBRFs3KQEOL_FfS7RstIxKAKUE4sFOAet75A/edit?usp=sharing

Confirm below that you have read the following

Yes

Please state if you are setting up as a provider or joining an organization.

If joining another provider please state in the other section which provider you will be joining.

I am setting up as a new provider

Other:

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