NI exam prep registration

This form should be completed and returned to National Instructor Development
(click on the SUBMIT button below)

Personal details
Name
Address 1
Address 2
Address 3
Postcode
Telephone (home)
Daytime contact number
Mobile
BSAC Membership No.
Branch Name/No.
Email address

National Instructor Pre-requisites
Diver Grade	First Class Diver Note: First Class is essential before you can register
First Class Diver Number*
Date gained
Instructor Grade	Advanced Instructor Note: Advanced Instructor is essential before you can register
Advanced Instructor Number*
Date gained
Instructor Trainer status	Are you currently an Instructor Trainer?
Date when attended ITDC
Current status*
Your Background
Please enter information under the following headings. This will provide us with a profile of your experience to help us advise you on your preparation.
Instructing Experience
Details
Diving Experience
Details
Experience of Coaching and ITS
Details
BSAC Courses attended
Details
Other Agency Experience
Details
Related qualifications/experience
Details
Other relevant information
Details

BSAC