Kiwisport Instructor Application

Application
Your Name:
Address:
Your Email address:
Phone:
Rank:
I am applying to be an:

I have the following qualifications:	Attended an Instructors Induction Course Have a current First Aid Certificate Am a current ITFNZ Instructor
My instructing experience with children:
Please Verify :
Conditions If under 18 years old, my parents are aware and give my permission to be involved in the Kiwisport project. If not an ITFNZ Instructor, my instructor has given his/her permission for me to apply for this position. I give permission for ITFNZ to request a Police check if required.

	I agree to the conditions above and submit my application:

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