Certified Fundamental Swim Instructor Attestation Form
Instructor Name:
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First Name
Last Name
Instructor Email
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*copy of form will be emailed here
Swim School or Org Name:
Instructor Desired Behaviors:
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Yes
Instructor is welcoming, positive, and encouraging to students.
Instructor is Professional.
Instructor demonstrates and executes a thought out lesson plan in alignment with the curriculum.
Instructor individualizes activities and language to meet the needs of swimmers.
Instructor Teaching Competency:
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Yes
Safety is always at the forefront of this instructor’s mind and evident while teaching.
Positive behavior management techniques are used to manage classes.
Individualization of skills to meet the needs of different learners is present.
Instructor manages time well: gives equal time to students and plans well, ensuring enough time to meet goals is evident.
Instructor makes corrections using a variety of means: verbal, physical, and modeling.
Overall, this instructor’s swim lessons flows, class is managed appropriately, learning is happening and the environment is positive.
Instructor In-Water Experience:
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Yes
This instructor has completed at least 30 of in-water swim instructor training.
Based on my knowledge of this instructor’s competency, I believe this instructor meets the USSSA standards regarding what is expected to be a certified instructor. I do attest that this information is true, accurate and complete to the best of my knowledge
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Print Name
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First Name
Last Name
Title
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Email
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*copy of form will also be emailed here
Submit
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