Instructeursoverstap voor ervaren instructeurs Stap 2

e-Learning

Bedankt voor uw betaling

Welkom bij Stap 2 van je Online Crossover programma.

In deze stap verzamelen we meer informatie over jou en je instructeursdiploma’s.

Experienced Instructor Crossover Application

Your Details
Prerequisites
Your Agreement and Signature

Your Details

Upload a photo of yourself for your Instructor Card

Choose File

Image Guidelines

Clear headshot, face fully visible
Good lighting
No filters or heavy editing
Follow size/cropping rules
Maximum size 5 MB

Prerequisites

Please enter the name of the Training Agency that issued your Instructor certification.

Training Agency

Please enter the name of the certification agency that issued your Instructor certification

Please upload your certification card for your Instructor certification

Choose File

Do you have a First Aid and CPR Instructor certification?

Yes

Which Agency issued your certification?

First Aid and CPR (within the last 24 months)

Date First Aid and CPR Issued

Please enter the name of the agency that issued your First Aid and CPR recognition

Your First Aid and CPR recognition is older than 24 months. Please add recognition within the last 24 months

Please upload your certification card for First Aid and CPR.

Choose File

Please choose the Dive Specialist or Specialty Instructor certifications you currently hold and would like to convert to equivalent NovoScuba Instructor certifications.

Please upload your certification cards for each of the Dive Specialist Instructor certifications you've selected.

Choose File

Instructor Experience

Please upload proof that you have certified more than 100 students. This could be a copy of your Student counts or a certification award from your training agency. Below are links to generate reports on your Student Counts for:

PADI

Student Counts

Choose File

Diving Medical

Date of Diving Medical

Please upload your current diving medical, dated within the last 12 months

Choose File

Agreement and Signature

I hereby declare that all the information I have provided is true and accurate to the best of my knowledge. I have read the Membership Agreement and hereby consent and agree to the terms and conditions in their entirety. I understand and agree that any criminal conviction on my part involving abuse of a minor or sexual abuse of an adult occurring either during or prior to my membership with NovoScuba, will be automatic grounds for denial or termination of my NovoScuba Membership. I hereby certify that all the above statements are true and correct to the best of my knowledge.

Signature

Sign Here

Date