Chieftain Training Staff Application Form

Job Application Form

Please complete this form to apply for a position with us. Ensure you have read the relevant job description/specification on our website before applying for a position. Please do not apply for a position that is not currently advertised. This form will take you 10-40 minutes to complete. Not all question are relevant to all positions.
Position Applied For (please select either "freelance work" or a position we have specifically advertised)*
Full Name*

First NameMiddle Name(s)Last Name
Date of Birth (required by our insurers)*

DayMonthYear
Current Address*

Street Address

Street Address Line 2

CityCountry

Postcode
Email Address*
example@example.com
UK Mobile Number
Format: 0044 (0)0000-000000.
Other Phone Number

Area CodePhone Number
Do you hold a UK Driving License?*
Do you have any unspent convictions (not including motoring convictions)?*

NoYes
If you have answered YES to the previous question, please provide details. While a criminal record will not stop you from working with us, this position may be subject to an Enhanced Disclosure CRB check. As such, certain offences are deemed unsuitable for work which would bring you into contact with children or vulnerable people.
Are you eligible for work in the UK?*

YesNo
How many separate periods of sick leave have you taken in the last 36 months?*
How many days of sick leave have you taken in the last 36 months?*
Do you require any reasonable adjustments, due to a disability or health condition, to enable you to attend an interview, or which you wish us to take into account when considering your application?
Your earliest available start date?*

DayMonthYear
Date
How did you first hear about this position?*
Employment History (start with most recent). If current, mark finish XXXX*
Secondary, Higher & Further Education (start with most recent)*
Do you hold an in date First Aid Certificate (or have medical training)?*

YesNo
First Aid and/or Medical Certificates

RYA First AidOutdoor First Aid (16h)HSE Emergency First Aid at WorkHSE First Aid at WorkSTCW Elementary First AidSTCW Medical First AidSTCW Medical CareEFR Primary & Secondary CareRegistered & licensed doctor with GMCRegistered nurse with NMCRegistered paramedic with HCPCOther
Do you hold a GMDSS (marine radio) Certificate of Competence?*

YesNo
GMDSS Certificate(s) of Competence

Short Range Cert.Long Range Cert.Restricted Operator’s Cert.General Operator’s Cert.
Do you hold any teaching and/or assessing qualifications?*

YesNo
Teaching Qualification(s)- Non RYA

IMO Train the TrainerL3 Award Education & TrainingL4 Certificate Education & TrainingL5 Diploma Education & TrainingCert. in EducationPGCEBachelor of EducationMaster of EducationPTLLSCTLLSDTLLSEnglish National Board 998Further and Adult Education Teacher’s Cert.IHCD Instructional MethodsIHCD Instructor Cert.Nursing mentorship qualificationsS/NVQ L3 Training & DevelopmentS/NVQ L4 Training & DevelopmentTQFE (Teaching Qualification for Further Education)Other
Do you hold any assessing qualification(s) not included in the teaching qualifications list above?*

YesNo
Assessing Certificate(s) Non RYA

A1 (D32/33)A2 (D32)Learning and Development Unit 9D or 9D1QCF Learning and Development NOS for AssessorsOther
Do you hold any Verifier or IQA Qualifications?*

YesNo
Verifier / IQA Certificate(s)

Level 4 Award IQALevel 4 Certificate Leading IQALevel 4 Award EQALevel 4 Certificate Leading EQAD34 IVAD35 EVAV1 IQAV2 EQAOther
Do you hold any RYA Certificates?*

YesNo
Do you hold any RYA Shorebased Instructor Certificates?*

YesNo
RYA Shorebased Instructor Certificates?

RYA Navigation InstructorRYA Ocean InstructorRYA Sea Survival InstructorRYA Offshore Survival InstructorRYA First Aid InstructorRYA Radar InstructorRYA Diesel InstructorRYA SRC Instructor/AssessorRYA PPR InstructorRYA Safe & Fun Instructor
Do you hold any RYA Practical Instructor Certificates?*

YesNo
RYA Practical Instructor Certificates

RYA Powerboat InstructorRYA Powerboat Adv. InstructorRYA PWC InstructorRYA Motor Cruising InstructorRYA YMI MotorRYA Dinghy InstructorRYA Multihull InsructorRYA Keelboat InstructorRYA Advanced (Dinghy or Keelboat) InstructorRYA Senior(Dinghy, Keelboat or Windsurf) InstructorRYA Foiling InstructorRYA Racing Instuctor (RCL1)RYA Race Coach Level 2 (RCL2)RYA Race Coach Level 3 (RCL3)RYA Start Windsurf InstructorRYA Race Coach TutorRYA Windsurf Instructor INPRYA Windsurf Instuctir IPRYA Windsurf Instructor AdvancedRYA Windsurf Trainer (Start)RYA Windsurf Trainer (Intermediate)Other
Do you hold any RYA Training Appointments?*

YesNo
RYA Training Appointments

RYA Powerboat TrainerRYA Powerboat Adv. TrainerRYA PWC TrainerRYA Motor Cruising Instructor TrainerRYA YMI Motor TrainerRYA Centre InspectorRYA Shorebased Trainer (any)RYA Advanced Power ExaminerRYA Yachtmaster Power ExaminerRYA Dinghy TrainerRYA Keelboat TrainerRYA Multihull TrainerRYA Foiling TrainerRYA Racing TutorRYA Windsurf Trainer (Start)RYA Windsurf Trainer (Intermediate)Other
Do you hold a RYA Certificate of Competence?*

YesNo
RYA Certificates of Competence?

Advanced PowerboatYachtmaster Coastal (sail)Yachtmaster Offshore (sail)Yachtmaster Ocean (sail)Yachtmaster Coastal (power)Yachtmaster Offshore (power)Yachtmaster Ocean (power)
Do you hold any teaching or instructing certificates not mentioned above?
Do you hold any MCA or STCW Certificates?

YesNo
Do you hold any MCA Certificates of Competence and/or any marine engineering certificates?*

NoMaster or Deck Officer, YachtMaster or Deck Officer, WorkboatMaster or Deck Officer, MerchantEngineeringOther
MCA Deck Cert(s) of Competence (Yacht)

Master 200 (code) & OOW 500 (yacht) limitedMaster 200 (code) & OOW 500 (yacht) unlimitedOOW 3000 (yacht)Chief Mate (yacht)Master 500 (yacht)Master 3000 (yacht)
MCA Deck Cert(s) of Competence (Workboat)

Master 200 (code) restrictedMaster 200 (code)Master 500 (workboat)
MCA Deck Cert(s) of Competence (Merchant)

OOW 500 (Near Coastal or cat D)OOW UnlimitedChief Mate 3000Chief Mate Near Coastal or UnlimitedMaster 3000Master Near CoastalMaster Unlimited
Marine Engineering Quals & CoC(s)

RYA DieselMCA AEC (Pre 2020)MCA AEC 1MCA AEC 2OOW EngineerSecond EngineerChief EngineerMEOLSenior MEOLHight Voltage OperationalHigh Voltage ManagementOther
Do you hold any MCA or STCW Short Course Certificates not already mentioned?

YesNo
STCW / MCA Short Course Certificates (not including First Aid, Medical, Engineering & GMDSS which have been dealt with by separate questions above).

Fire Prevention & Fire FightingAdvanced Fire FightingTanker Fire FightingPSSREntry into Enclosed SpacesShipboard Safety OfficerPersonal Survival TechniquesSurvival Craft and Rescue BoatsFast Rescue BoatsSecurity AwarenessDesignated Security DutiesShip’s Security OfficerEfficent Deck HandECDISCrowd ManagementCrisis Management & Human BehaviourPassenger safety, cargo safety & hull integrityHELM OperationalHELM ManagementOther
Any other certificates, not already mentioned.
Have you worked at sea? (not required for office & admin positions)*

YesNo
Seatime*
Maintenance & Engineering Skills / Experience (diesel, petrol engines, 12V, GRP, general, carpentry, ship building, DIY etc.)?
Do you have any sales experience?

YesNo
Sales Experience
Do you have any marketing experience?

YesNo
Marketing Experience
Do you have any experience of safety management, risk assessments and producing H&S procedures?

YesNo
H&S, risk assessment and procedures experience.
Other skills (Please include languages, IT, book keeping, admin, boating etc. relevant to the position you are applying for).*
Hobbies, Interests, Voluntary Positions.*
How do you think your skills and experience meet the job description? What made you apply for this position?*
References. Minimum 2, at least 1 employer (preferably 2 from employers), only 1 reference per organisation, no family*
Please upload any documents you would like to support your application. There is no need to upload certificates, these will be requested if we invite you to interview. Feel free to upload a photo (we don't choose staff based on their appearance but it is a lot easier to remember who is who when we can put a face to a name).

Cancelof
I declare, that to the best of my knowledge the information given on this form is correct and I understand that misleading statements or deliberate omission may be sufficient grounds for cancelling any appointment arising from this application.*
Please verify that you are human*
Should be Empty:

Job Application Form