Instructor Information

Full Name *

First Name Last Name

Address (Optional)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number *

E-mail

example@example.com

Upload a high-resolution head-shot if you wish to display one. Please use a photo the shows your whole face and only has your face. Underwater photos are acceptable as well.

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Upload a photo or scanned copy of your highest level Inspiration instructor certification *

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Upload your .ccx / .ccl file showing a minimum of 25 hours in the last two years *

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Please provide the names of 2 two students taught in the last two years

Website

Lid Serial Number *

Which Of The Following Agencies Are Certified To Teach the Inspiration? *

PADI TDI Naui IANTD RAID ANDI Other

To be listed on our website as an approved Silent Diving instructor, you agree to follow the AP Diving, RESA, ISO, and all training agencies standards, whichever is higher.

Upon completion of certification at the introduction CCR Diver level, you agree to provide copies of the Certification, Silent Diving Waiver, Silent Diving Sign-Off Sheet, and the .CCL file from the last dive of the course to Silent Diving. All Instructor Trainers are to provide the same information on completion of the Instructor course.

You also agree to use the Silent Diving Exam in addition to any training agency exams.

Silent Diving will keep all updated exams, checklists, waivers, order forms, and the Sign Off Sheet at the following link: https://bit.ly/3CDeDRj.

If you have any questions, concerns, or need to discuss requirements further, please contact Mike Fowler - mike@silentdiving.com.