APPLICATION FOR

APPOINTMENT AS A CCERTIFICATE EXAMINER

To be completed and forwarded to Zone Coaching Panel and then State Coaching Panel

Name of Nominating Club
Name of Nominee
Current Club
Address
Coaching Qualification Held
No of Years Coaching At C Level
Level Currently Coaching

A candidate for appointment as a CExaminer must satisfy the following criteria:

  1. Possess current PC-NCAS Level 1 Coaching, EA NCAS equivalent or AHRC level 2 Coaching
  2. Be currently coaching at a Pony Club affiliated with the Pony Club WA.

4.Have a minimum of three year’s teaching at C Efficiency Level or above.

5.Have successfully produced at least two groups of CEfficiency Certificate Candidates

6.Have a strong commitment to the Pony Club Movement

7.Have attended aC Examiners’ School(recommended)

C Examiners must conduct a probationary practical test with a recommended minimum for four candidates. The test must be conducted under supervision of a current C examiner.

C Examiners are nominated by a meeting of the Zone Coaching Panel, through their Zone Committee, approved by the Pony Club WA State Coaching Panel and are ratified by Board.

Fees for CExaminers are fixed by the Pony Club WA State Coaching Panel and reviewed from time to time.

To be Completed by Applicant

DETAILS OF RIDERS PREPARED FOR C EFFICIENCY EXAMINATIONS
GROUP 1
DATE OF EXAM / EXAMINER
(Names of Riders) / 1 / 4
2 / 5
3 / 6
GROUP 2
DATE OF EXAM / EXAMINER
(Names of Riders) / 1 / 4
2 / 5
3 / 6
GROUP 3
DATE OF EXAM / EXAMINER
(Names of Riders) / 1 / 4
2 / 5
3 / 6
I, ...... (name of nominee) when accepted as a CExaminer, agree to serve a probationary period of oneexam, to be conducted under an examiner from the CExaminers List. I agree to attend C Examiners’ Schools and refresher courses as they occur. When accepted for the above position, I agree to carry out my duties in accordance with the wishes and guidance of the Pony Club Association of Western Australia Inc.
SIGNED / DATE

To be Completed by Nominating Club and Zone

We believe that ……………………...... … (name of nominee) has strong commitment to the Pony Club movement and has knowledge and disposition necessary to be a C Certificate Examiner for the Pony Club Association of Western Australia Inc
Nominating Club
Date
Club Committee / Name / Signature
Club President
To be completed by the Zone Coach Coordinator/Committee
Zone
Date
Zone Committee / Name / Signature
Zone Coach Coordinator
Zone President

Please forward this application to the Pony Club WA Coaching Panel

To be Completed by State Coaching Panel

Probationary Exam 1
Club / Venue / Supervising Examiner
This application for appointment as a C Examiner is approved by the Pony Club WA State Coaching Panel on
Date
Signed State Coaching Panel Director