Young Leaders Application

To become a Young Leader, please complete this form. It is for anyone over the age of 14 who meets the requirements.

Personal Details
To be submitted with a reference from a teacher / employer / leader / coach.
Name*
First Last
Gender
- Male
- Female
Age*
Date of Birth*
Day
Month
Year
Home Address*
Phone*
Email*
Enter Email Confirm Email
School or College currently attending*
Can you attend the full course?*
- Yes
- No
If no, please note dates you are available for:
Please give details of relevant experience, work experience and positions of responsibility*
e.g. babysitting, Scout/Guide patrol leader.
Why do you feel you should be given a place on this course?*
Briefly describe a situation where you have helped others.*
Qualifications & Experience
Please select the qualifications you hold and give a brief explanation of experience.
Kayaking / Canoeing*
- Paddle Power Start
- Passport
- Discover
- Explore
- Excel
- Taster Session
- HOAC Bronze
- HOAC Silver
- HOAC Gold
- BC/BCU1*
- BC/BCU 2*
- BC/BCU 3*
- FSRT
- Other...
Please give details of "Other"
Please give a brief indication of experience
i.e. boats used, rivers paddled
Sailing
- Taster Session
- Bronze
- Silver
- Gold
- RYA Youth Stage 1
- RYA Youth Stage 2
- RYA Youth Stage 3
- RYA Youth Stage 4
- RYA Adult Level 1
- RYA Adult Level 2
- RYA Adult Level 3
- Seamanship Skills
- Day Sailing
- Sailing with spinnakers
- Performance Sailing
- Start Racing
- Other...
Please give details of "Other"
Please give a brief indication of experience
i.e. - boats and locations sailed
Power boating
- RYA Level 1
- RYA Level 2
- RYA Safety Boat
- Other...
Please give details of "Other"
Other Awards
Please complete any details for awards you hold below.
First Aid
award & expiry date
Any other relevant awards held
Interests
Please rate the activities below in order that you are interested in (1 being most, 10 being least):
Kayaking
Sailing
Power boating
First Aid
SUP Boarding
Team Tasks
Personal Statement
What do you want to achieve from the course?*
References
Your application will not be considered without a reference if you are unable to upload a reference now please forward them to sally@hoac.net
Reference #1
Please upload a Word, PDF or email from teacher / employer / leader / coach as appropriate.
Accepted file types: doc, docx, pdf, txt, jpg, Max. file size: 128 MB.
Reference #2
Please upload a Word, PDF or email from teacher / employer / leader / coach as appropriate.
Accepted file types: doc, docx, pdf, txt, jpg, Max. file size: 128 MB.
Parent Declaration
I confirm that my child*
- Is physically fit enough to participate in this course
- Can swim 50 metres in light clothing and are water confident.
- Is allowed to be photographed and the photo’s used for HOAC publicity.
- Has no medical condition / special needs / learning difficulties
- Has a medical condition / special needs / learning difficulties
Medical condition / special needs / learning difficulties
Please outline any details below:
Parent / Guardian Name
First Last

Young Leaders Application

Personal Details

Qualifications & Experience

Other Awards

Interests

Personal Statement

References

Parent Declaration

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