GHYC application form
Application form for instructor/helper positions 2018

Please note: you will need copies of all certs to complete this form.
Copies of certs need to be emailed to training@glandoreyc.com

Email address *
Personal Details
Name *
Your answer
Permanent Home address *
Your answer
Holiday Home address (if applies)
Your answer
Mobile phone number *
Your answer
Date of birth *
MM
/
DD
/
YYYY
PPS NO *
Your answer
Allergies/Medical conditions
Your answer
Next of Kin/Emergency contact *
Your answer
Next of Kin/Emergency contact phone *
Your answer
Bank Details
Bank Name and address *
Your answer
BIC *
Your answer
IBAN *
Your answer
ISA Qualification Details
Sailing qualifications *
Achieved
Emailed
No Certificate Yet
Dinghy instructor
Advanced instructor
Senior instructor
Comments on sailing qualifications
Your answer
Sailing Experience details
Your answer
Instructing Experience details
Your answer
Powerboat qualifications
Achieved
Emailed
No certificate yet
Level 2
Safety Boat
Advanced
Comments on Powerboat qualifications
Your answer
Powerboat Experience details
Your answer
Health & Safety Certification
First aid: valid until
MM
/
DD
/
YYYY
Garda Vetting: valid until
MM
/
DD
/
YYYY
Safeguarding: date issued
MM
/
DD
/
YYYY
Comments on Health & Safety Certificates
Your answer
Any other relevant qualifications (e.g. VHF radio licence)
Your answer
Any other relevant information (e.g. Achievements, skills, experience, training or team memberships that may influence your application)
Your answer
References
Please provide details of two referees (one a sailing referee)
Reference 1: name *
Your answer
Reference 1: address
Your answer
Reference 1: phone no.
Your answer
Reference 2: name *
Your answer
Reference 2: address
Your answer
Reference 2: phone no
Your answer
Availability
Please choose the weeks for which you are available to work
I am available to work on the following weeks *
Required
Any other information . . .
Your answer
Agreement
I agree to *
Required
I confirm that I have emailed the following certs *
Required
A copy of your responses will be emailed to the address you provided.
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