Raven Rescue

Fields marked with * are required.

* Name:

* Address:

* Primary Phone:

Secondary Phone:

* Email:

* Please identify the discipline(s) you would like to teach:

• Flatwater
• Swiftwater/Flood
• Technical Rope
• Surface Ice
• Boat Handling (motorized and non-motorized)
• Wilderness Medical (please see WMA’s website for their separate Instructor certification process)

* Are you hoping to become an Agency Instructor or Corporate Instructor? If you do not understand the difference, please refer to the information on becoming an instructor.

Agency
Corporate Instructor
Both

If Agency Instructor, please list your employer and indicate whether they are supportive of your application to become an Instructor.

* Describe why you would like to become an Instructor for Raven Rescue?

* Why do you feel you would be a good fit for Raven Rescue?

* List current rescue-related qualifications and/or operational experience in the discipline you wish to teach.

* List your current level of first aid training.

* List any teaching experience you may have.

If you have been on a Raven Rescue course before, please list which ones, when, where, and the Instructor if you can recall their name.

Are you bi-lingual and if so what languages do you speak?

* Provide two references with contact information that are relevant to the type of courses and services we provide.