Application for Guide Provider Role

Please complete this form in type or black pen and return to British Canoeing, by the closing date of 30thMay 2017.

Your details are held in a secure filing system for 1 year following receipt. Your personal details will be held in order to communicate and for statutory purposes (equal opportunities). In the event that you are successful in your application, the information contained in this form will make the basis of your personnel file on both secure computer and paper based filing systems.

Personal Details
Membership Number: / Date of Birth:
Surname: / Home Tel:
First Name(s): / Mobile:
Address: / Email:
Work Tel:
May we ring you at work with discretion?
Yes No
Coaching and Leadership Qualifications:
Highest Kayak Coaching or Leading Qualification held:
Highest Canoe Coaching or Leading Qualification held:
Please list any other relevant Paddlesport Coaching and Leadership qualifications held and those you are working towards:
Provider Roles:
Please provide details of active provider roles that you hold (or are working towards):
(Please include British Canoeing provider roles and any other relevant Coach/Leadership provider roles held with different organisations).

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Teaching Qualifications / Experience:
Please provide details of any external teaching or delivery qualifications/experience you hold (or are working towards):
Coaching/Leading/Paddling Experience:
Please summarise your paddlesport coaching/leading/paddling experience:
(We are interested in your knowledge and skills in the range of craft/environments relevant to the award. Craft include: racing craft, touring kayaks, open canoes, suitable sit-on-tops, general purpose kayaks, stand-up-paddleboards, and crew boats. Environments include: Slow moving rivers, Sheltered Inland and Tidal waters. It is important that you provide specific details for each discipline you coach, the type of groups you coach, the environments in which you work, the nature of the sessions that you run, and include dates).
Specific Guiding Experience:
Please summarise your guiding experience:
(Provide locations, group details, dates)
Tutoringand Mentoring Experience:
Please give specific details of anytutoring and mentoring experience:
(This may include for example; training/assessing/mentoring paddlesport coaches/leaders, coaches/leaders in other sports, or people in other subject areas)
Proposed Delivery:
Please indicate the Guide Modules you would like to deliver, providing specific details including relevant experience, current knowledge, and/or qualifications to support your application. Refer to the module outlines to ensure you have the relevant knowledge.
Leadership
Trip planning & Organisation
Campcraft & Expedition Skills
Customer Experience
Environment & Sustainability
Are you able to deliver courses through the medium of Welsh: Yes / No (Please tick)
Considering the Guide Provider Role Description supplied, please tell us why you think you would be a good Guide Provider:
I declare that the information given in this application is true:
Name: / Date:

Completed applications should be sent to by 30th May 2017.

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