Age Exemption Application
This applicatoin must be completed by the applicant on for a request for an age exemption to attend an NZSIA certification course.
Candidate Details
Full name
Date of birth
*
-
Day
-
Month
Year
Date
Age
*
Email address
*
example@example.com
Mobile number
*
Patrent/Guardian name
*
Parent/guardian email
example@example.com
Course Applying For
Course applying for
*
Please Select
Ski Level One Certification
Snowboard Level One Certification
Other
Preferred course location
*
Preferred course dates
*
Snowsports Experience
How many seasons have you skied or snowboarded?
*
How many days do you typically ride per season?
*
Have you worked in a snowsports environment before?
*
Yes
No
If yes, please describe your snowsports work experience
Have you received previous coaching or race training?
*
Yes
No
If yes, please provide details of your coaching or race training
Have you completed any previous instructor training?
*
Yes
No
Why are you applying?
Why do you want to complete this certification before reaching the minimum age requirement?
*
What are your goals after gaining this certification?
*
Why do you believe you are ready for this course?
*
Maturity & Responsibility
Describe a situation where you demonstrated responsibility or leadership
*
What challenges do you expect on the course, and how will you manage them?
*
Describe a time you received constructive feedback and how you responded
*
Experience
Have you held paid employment?
*
Yes
No
Employer name
Job title / position
Have you volunteered?
*
Yes
No
Volunteering organisation
Volunteer role
Sporting Background
Sport Name
*
Level
*
Please Select
Recreational
School/College
Club
State/Regional
National
International
Other
Years Involved
*
Leadership Positions Held
Representative Teams (if applicable)
References
Referee name
*
Referee 1 organisation
*
Referee 1 relationship to the candidate
*
Referee 1 email
*
example@example.com
Supporting Documents
Please upload any relevant documents to support your application
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Declaration
Confirmation of accuracy
*
I confirm that the information provided in this application is true and complete.
I understand that any false or misleading information may affect this application.
I agree to notify the NZSIA if any information changes before a decision is made.
Application outcome acknowledgement
*
I understand that submitting this application does not guarantee approval of an age exemption.
I understand that the decision is at the discretion of NZSIA.
I understand that the NZSIA decision is final.
Printed name
*
Digital signature
*
Date
*
-
Day
-
Month
Year
Date
Submit Application
Submit Application
Should be Empty: