Application Form

2016/17 SGAIC Licensed Instructor Courses

Please return forms along with deposits to address below. (Cheque only please payable to SANA COACHING COMMITTEE).

Stevie Reid
22 Northwood park
Deans
Livingston,
West Lothian,
EH54 8BD
Scotland

Mobile: 07711384308

The 2016 SGAIC course starts in October 2016 and finishes in April 2017,

An overview of the course is contained in the SGAIC Overview Document on the SGAIC web site.

The course will be run over seven days including two assessment days and price for the full course including assessments is £400. In the event that a candidate wishes to be assessed for both single and double-handed qualifications there is an £80 surcharge. Places for the course are limited therefore in order to reserve a place a refundable deposit of £50 is required along with your completed application form. Remaining balance must be paid before the end of September.

Please note that participation on the course/assessments is subject to SGAIC Committee approval. We reserve the right to refuse participation to any applicant or participant at any time and at our sole and absolute discretion, without any liability to SGAIC or SANA, for any reason.

Participation in the course does not guarantee qualification. Candidates must pass all assessments to receive the SGAIC certificate. Candidates must pass a written assessment and verbal presentation skills assessment to go forward to the final practical assessment. If for any reason a candidate does not pass all three assessments, they can register for a resit no later than the following year upon payment of a fee of £80.

PLEASE print out this document and complete the information below and return to address above with your deposit (cheques only) to reserve your place – Places are limited so candidates are encouraged to apply early.

Please reserve me a place for the following courses:

Course / Please Tick
SGAIC Single Handed Instructor – Trout
SGAIC Double Handed Instructor – Salmon
My Details

Name…………………………………. Email……………………………………….

Address……………………………………………………………………………………………………………………………………………………………………………

Telephone Home…………………………..Mobile…………………………………

Current Coaching/Teaching Qualifications (if any)

…………………………………………………………………………………..

Main Angling Discipline (Trout / Salmon / River / Stillwater) …………………………………………………………………

Relevant previous experience:

…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….

Any special needs or medical conditions that might require special arrangements:

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Payment Method

A non-refundable deposit of £50 is required to reserve your place. Cheques should be made payable to SANA COACHING COMMITTEE.

Payment for the outstanding balance of £350 should be madebefore the end of September, before the start of the course.

Please confirm Payment Method : a) In Full...... b) Instalments......

Any other relevant information (First Aid or Safeguarding Children qualifications. Angling experience)

…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………