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What State Are You From?:
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Daytime Phone:
Evening Phone:
Cell Phone:
Best Time To Be Contacted:
Current E-Mail Address:
Alternate E-Mail Address:
Your Date Of Birth (00/00/0000):
Are You Allowed To Work In The United States?:
YES
NO
How Many Years Have
You Been Surfing
(Type In Number of Years)?:
Have You Ever Taught
Surf Lessons Before?:
YES
NO
If Yes For Who And Where Did
You Work (Be Descriptive)?:
Provide This Information Below In One Of The Text Area's Below
Are You Willing To Teach Private Surf Lessons?:
YES
NO
Are You Willing To Teach
Group Surf Lessons?:
YES
NO
Would You Be Interested
In Doing Work As A
Surf Consultant?:
YES
NO
Are You CPR Certified?:
YES
NO
IF NO Are You WIlling To Become
CPR Certified (Type Yes or No)?:
What Is The Highest Level Of
Education You Have Attained?:
Please List All The Languages
You Speak:
Do You Have A Vehicle?:
YES
NO
What Distance Are
You Prepaired To Travel?:
Do You Have Any Physical/Mental Conditions That May Limit Your
Ability To Supervise Children
And/ Or Adults?:
YES
NO
(If YES Then Please Describe In One Of The TEXT AREA's Below)
What Days Are You Available To
Teach Surf Lessons
(Check All That Apply)?:
Sun
Mon
Tue
Wed
Thur
Fri
Sat
What Time Of The Day Is Best
For You To Teach Surf Lessons
(Check All That Apply)?:
Morning (After 6AM before 12 PM)
Afternoon (after 12PM)
Both
Depends On The Day
Which Search Engine
Do You Like The Best?:
How Did You Find Us?:

Please List 3 Character References - Include Phone Numbers And Addresses:
Enter Everything Else You Want/ Need To Tell Us About Yourself Below:
(include any other certifications you may hold and or skills you may have, etc...)


- Please Fill Out As Many Form Fields As You Can -
Please Know That The More Information You Provide Us With The Easier It Will Be To Determine a Fit With A Surf School!
Application Does Not Guarantee A Job Offer Or Employment

contact us: E-Mail: info@surf-lessons.com
© the surf instructor network / surf-lessons.com 2005