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)
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Please Select
Course Advisor (Sales)
Business Administrator (Apprenticeship)
Full Time Instructor
Freelance Instructor
Instructor & Bosun (Apprenticeship)
Freelance IQA (& Instructor)
Pool Lifeguard
Other Position
Full Name
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First Name
Middle Name(s)
Last Name
Date of Birth (required by our insurers)
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Day
-
Month
Year
Current Address
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Street Address
Street Address Line 2
City
Country
Postcode
Email Address
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example@example.com
UK Mobile Number
Format: 0044 (0)0000-000000.
Other Phone Number
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Area Code
Phone Number
Do you hold a UK Driving License?
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Please Select
Yes
Yes with trailer endorsement
No
Do you have any unspent convictions (not including motoring convictions)?
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No
Yes
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?
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Yes
No
How many separate periods of sick leave have you taken in the last 36 months?
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How many days of sick leave have you taken in the last 36 months?
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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?
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Day
/
Month
Year
Date
How did you first hear about this position?
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Please Select
Facebook
Linked In
Chieftain Training Website
RYA
Indeed
Total Jobs
Chicken Loop
Marine Resources
Trabajo
Nautilus
An Apprenticeship website
A local college
Family / Friend
Other
Employment History (start with most recent). If current, mark finish XXXX
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Secondary, Higher & Further Education (start with most recent)
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Do you hold an in date First Aid Certificate (or have medical training)?
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Yes
No
First Aid and/or Medical Certificates
RYA First Aid
Outdoor First Aid (16h)
HSE Emergency First Aid at Work
HSE First Aid at Work
STCW Elementary First Aid
STCW Medical First Aid
STCW Medical Care
EFR Primary & Secondary Care
Registered & licensed doctor with GMC
Registered nurse with NMC
Registered paramedic with HCPC
Other
Do you hold a GMDSS (marine radio) Certificate of Competence?
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Yes
No
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?
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Yes
No
Teaching Qualification(s)- Non RYA
IMO Train the Trainer
L3 Award Education & Training
L4 Certificate Education & Training
L5 Diploma Education & Training
Cert. in Education
PGCE
Bachelor of Education
Master of Education
PTLLS
CTLLS
DTLLS
English National Board 998
Further and Adult Education Teacher’s Cert.
IHCD Instructional Methods
IHCD Instructor Cert.
Nursing mentorship qualifications
S/NVQ L3 Training & Development
S/NVQ L4 Training & Development
TQFE (Teaching Qualification for Further Education)
Other
Do you hold any assessing qualification(s) not included in the teaching qualifications list above?
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Yes
No
Assessing Certificate(s) Non RYA
A1 (D32/33)
A2 (D32)
Learning and Development Unit 9D or 9D1
QCF Learning and Development NOS for Assessors
Other
Do you hold any Verifier or IQA Qualifications?
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Yes
No
Verifier / IQA Certificate(s)
Level 4 Award IQA
Level 4 Certificate Leading IQA
Level 4 Award EQA
Level 4 Certificate Leading EQA
D34 IVA
D35 EVA
V1 IQA
V2 EQA
Other
Do you hold any RYA Certificates?
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Yes
No
Do you hold any RYA Shorebased Instructor Certificates?
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Yes
No
RYA Shorebased Instructor Certificates?
RYA Navigation Instructor
RYA Ocean Instructor
RYA Sea Survival Instructor
RYA Offshore Survival Instructor
RYA First Aid Instructor
RYA Radar Instructor
RYA Diesel Instructor
RYA SRC Instructor/Assessor
RYA PPR Instructor
RYA Safe & Fun Instructor
Do you hold any RYA Practical Instructor Certificates?
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Yes
No
RYA Practical Instructor Certificates
RYA Powerboat Instructor
RYA Powerboat Adv. Instructor
RYA PWC Instructor
RYA Motor Cruising Instructor
RYA YMI Motor
RYA Dinghy Instructor
RYA Multihull Insructor
RYA Keelboat Instructor
RYA Advanced (Dinghy or Keelboat) Instructor
RYA Senior(Dinghy, Keelboat or Windsurf) Instructor
RYA Foiling Instructor
RYA Racing Instuctor (RCL1)
RYA Race Coach Level 2 (RCL2)
RYA Race Coach Level 3 (RCL3)
RYA Start Windsurf Instructor
RYA Race Coach Tutor
RYA Windsurf Instructor INP
RYA Windsurf Instuctir IP
RYA Windsurf Instructor Advanced
RYA Windsurf Trainer (Start)
RYA Windsurf Trainer (Intermediate)
Other
Do you hold any RYA Training Appointments?
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Yes
No
RYA Training Appointments
RYA Powerboat Trainer
RYA Powerboat Adv. Trainer
RYA PWC Trainer
RYA Motor Cruising Instructor Trainer
RYA YMI Motor Trainer
RYA Centre Inspector
RYA Shorebased Trainer (any)
RYA Advanced Power Examiner
RYA Yachtmaster Power Examiner
RYA Dinghy Trainer
RYA Keelboat Trainer
RYA Multihull Trainer
RYA Foiling Trainer
RYA Racing Tutor
RYA Windsurf Trainer (Start)
RYA Windsurf Trainer (Intermediate)
Other
Do you hold a RYA Certificate of Competence?
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Yes
No
RYA Certificates of Competence?
Advanced Powerboat
Yachtmaster 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?
Yes
No
Do you hold any MCA Certificates of Competence and/or any marine engineering certificates?
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No
Master or Deck Officer, Yacht
Master or Deck Officer, Workboat
Master or Deck Officer, Merchant
Engineering
Other
MCA Deck Cert(s) of Competence (Yacht)
Master 200 (code) & OOW 500 (yacht) limited
Master 200 (code) & OOW 500 (yacht) unlimited
OOW 3000 (yacht)
Chief Mate (yacht)
Master 500 (yacht)
Master 3000 (yacht)
MCA Deck Cert(s) of Competence (Workboat)
Master 200 (code) restricted
Master 200 (code)
Master 500 (workboat)
MCA Deck Cert(s) of Competence (Merchant)
OOW 500 (Near Coastal or cat D)
OOW Unlimited
Chief Mate 3000
Chief Mate Near Coastal or Unlimited
Master 3000
Master Near Coastal
Master Unlimited
Marine Engineering Quals & CoC(s)
RYA Diesel
MCA AEC (Pre 2020)
MCA AEC 1
MCA AEC 2
OOW Engineer
Second Engineer
Chief Engineer
MEOL
Senior MEOL
Hight Voltage Operational
High Voltage Management
Other
Do you hold any MCA or STCW Short Course Certificates not already mentioned?
Yes
No
STCW / MCA Short Course Certificates (not including First Aid, Medical, Engineering & GMDSS which have been dealt with by separate questions above).
Fire Prevention & Fire Fighting
Advanced Fire Fighting
Tanker Fire Fighting
PSSR
Entry into Enclosed Spaces
Shipboard Safety Officer
Personal Survival Techniques
Survival Craft and Rescue Boats
Fast Rescue Boats
Security Awareness
Designated Security Duties
Ship’s Security Officer
Efficent Deck Hand
ECDIS
Crowd Management
Crisis Management & Human Behaviour
Passenger safety, cargo safety & hull integrity
HELM Operational
HELM Management
Other
Any other certificates, not already mentioned.
Have you worked at sea? (not required for office & admin positions)
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Yes
No
Seatime
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Maintenance & Engineering Skills / Experience (diesel, petrol engines, 12V, GRP, general, carpentry, ship building, DIY etc.)?
Do you have any sales experience?
Yes
No
Sales Experience
Do you have any marketing experience?
Yes
No
Marketing Experience
Do you have any experience of safety management, risk assessments and producing H&S procedures?
Yes
No
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).
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Hobbies, Interests, Voluntary Positions.
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How do you think your skills and experience meet the job description? What made you apply for this position?
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References. Minimum 2, at least 1 employer (preferably 2 from employers), only 1 reference per organisation, no family
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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).
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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.
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