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Forms for Instructors, ITs and ITEs
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Safety Education & Instruction Council:

Insurance:

  • To apply for course insurance, complete and submit the appropriate Course Registration Form below (Skills, Assessment, Certification)
    • ACA Waiver & Release of Liability - Adult 
    • ACA Waiver & Release of Liability - Minor (Under Age 18 at the time of registration)
    •  ACA Incident / Accident Report Form (PDF)
  • Additional Insurance information (online)

Forms for Instructors:

  • Assessment Courses (please type & email - do not send hard copies):
    • Assessment Course Registration Form (Online / Word)
    • Assessment Course Report Form (Online / Word)
    • Temporary Assessment Cards
  • Additional Forms
    •  Instructor Certification Extension Application (Online)
    • Paddlesport Safety Facilitator Certification/Endorsement Course Report Form (Excel)

Forms for Instructor Trainer Candidates (ITC):

  • Instructor Trainer Candidate Registration Form (Word / PDF)
  • Instructor Trainer Application (Word / PDF)

Forms for Instructor Trainers (IT):

  • Instructor Certification Workshops (IDW / ICE or ICW)
    • Certification Course Registration Form (Online / Word / PDF)
    • Certification Course Report Form (Online / Word / PDF)
    •  Temporary Instructor Certification Cards
    • Instructor Trainer / Certification Course Evaluation (Word)
    • Instructor Candidate Evaluation Form (Word / PDF)
    • Instructor Candidate Continuation Form (Word / PDF)
  • Additional Forms
    • Mentorship Certification Report Form (Word / PDF)
      •  SEIC Policy Manual - Chapter 2.C.1
    • Instructor Upgrade/Removal of Continuation Certification Report (Online Word / PDF)
    • Temporary Endorsement Cards (Word)
    • ICW Flashcards (PDFby Tom Lindblade
    • Instructor Certification Workshop Presentation 2012 (ppt, 9mb)

Forms for Instructor Trainer Educators (ITE):

Additional Resources:

  • Overview - Who Can Teach What? (PDF)
  • Instructional Best Practices (PDF)
  • Powerpoints
    •  ACA Powerpoint Template 2012 (ppt)
    •  The ACA & You! (ppt
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