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Forms for Instructors, ITs and ITEs
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  • To apply for course insurance, complete 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)

Skills Courses

Assessment Courses  

Instructor Certification Courses

  • Certification Course Registration Form (Online / Word / PDF)
  • Certification Course Report Form (Online / Word / PDF)
  • Mentorship Certification Report Form (Word / PDF) (SEIC Policy Manual - Chapter 2.C.1)
  • Instructor Upgrade/Removal of Continuation Certification Report (Online / Word / PDF)
  • Temporary Instructor Certification Cards
  • Temporary Assessment / Endorsement Cards
  • Instructor Trainer / Certification Course Evaluation (Word / PDF)

Instructor Maintenance

  • Instructor Certification Extension Application (Online / PDF)

Instructor Trainers

Instructor Candidate Evaluation Form (Word / PDF)

Instructor Candidate Continuation Form (Word / PDF)

Instructor Trainer Application (Word / PDF)

Instructor Trainer Educator (Application / Renewal)


SEIC Policy Waiver Request (Online)

Overview - Who Can Teach What? (excel)

ACA Powerpoint Template 2012 (ppt)

Instructor & Instructor Trainer Mentoring Letter (PDF)

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Event Calendar

10/9/2015 » 10/11/2015
Swiftwater Rescue Conference

Revised Instructor Trainer Process - Discussion

10/16/2015 » 10/18/2015
Pine Barrens Canoe Symposium

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