US SAILING TRAINING PROGRAM POWER BOAT INSTRUCTOR COURSE APPLICATION/REGISTRATION FORM A. Powerboat Instructor Course Goals 1. Teach powerboating at your facility or at facilities across the country. 2. Gain US SAILING Certification as a Powerboat Instructor. 3. Prepare your prospective sailing instructors for the rigid powerboat requirements of US SAILING Instructor Courses. 4. Teach your race support and powerboat operator’s precision boathandling and sailboat rescue and towing techniques. Topics covered in the course include: classroom and on-the-water teaching techniques, risk management, safety issues, lesson planning, creative activities, ethical concerns, and sports physiology and psychology. B. Prerequisites for Entrance Into the Course 1. Safe Powerboat Handling Certification. 2. Current American Red Cross Sport Safety Training with Adult CPR or current American Red Cross, Green Cross (National Safety Council) or US Coast Guard Approved First Aid and Adult CPR. We will also accept American Heart Association Adult CPR. While the First Aid portion is good for three years, the CPR portion must be renewed annually (through one of the above systems). A state licensed EMT or M.D. whose CPR certification is renewed annually is also accepted. CPR and First Aid certification are not required to take the course but are required for certification as an instructor. 3. Ability to swim 50 yards both with and without PFD. 4. Ability to exhibit appropriate personal and interpersonal skills. 5. Current US SAILING Adult Individual Membership. 6. Completed Application Form accompanied by appropriate course fees (and any late charges). 7. Completed US SAILING Medical Form provided to Instructor Trainer BEFORE the course begins. 8. US SAILING strongly recommends at least a US Coast Guard OUPV License for this certification. NOTE: REGISTRATION IS ON A FIRST COME, FIRST PAY BASIS! ATTENDANCE AT ALL COURSE SESSIONS IS MANDATORY. ABSENCE FROM ANY PORTION OF THE COURSE EXCLUDES THE INSTRUCTOR CANDIDATE FROM EVALUATION. C. Successful Completion of the Course includes passing the following practical and written tests administered at the course; a positive evaluation also must be attained in certain areas. The practical and written tests each stand on their own, and each must be passed in order to pass the course. The determination as to whether a candidate passes or fails rests with the Instructor Trainer. In addition to Pass or Fail, there is a Plan of Improvement or a chance to re-test in the Last revised 1/22/08 area of weakness. Re-testing for Plans of Improvement carries a $50 re-testing fee; re-tests are scheduled with specific representatives of US SAILING and must be performed within a specific time frame. 1. 2. 3. 4. 5. 6. 7. 8. Powerboat Operation Skills Practical Test: Execute, with comfort and confidence: system, equipment and starting checks, leaving and docking, high and low speed maneuvering, holding position upwind/upcurrent, backing, pivot turn (180 degree turn within boat’s length), anchoring and/or making fast to a mooring, overboard recovery and landing alongside a moored boat. Marlinspike/Seamanship Practical Test: Demonstrate ability to tie the following knots and hitches: Figure-8, bowline, sheet bend, clove hitch, two half hitches, rolling hitch, and cleat hitch. Also coil and throw a line. Personal and Interpersonal Practical Skills: Demonstrate professional conduct, an open-minded, positive and enthusiastic attitude, appropriate appearance (clothing, footwear and tidiness), participation in discussions, collaboration skills/team player, confidence and ease of manner. Classroom Presentation Practical Skills: Demonstrate lesson preparation, with clear, logical and accurate content, good voice enunciation/clarity/volume/pace/pitch, good non-verbal communication (gestures and body language), effective visual aids, good timed presentation(s) with introduction, conclusion, demonstration, clarity and use of notes, use of multiple pathways techniques, and ease in handling questions. Land Drill and Water Drill Teaching Practical Skills: Demonstrate good class positioning, control and positioning of powerboat, demonstration skills, effective on-the-water communication, evaluation, and feedback technique. Written Exams: A proctored, combined exam on the Powerboat Instructor Manual, Start Powerboating Right manual, the Safety Rescue and Support manual as well as an exam on the Teaching and Coaching Fundamentals for Sailing text. A passing grade of 80% is required on all exams. Attendance at all portions of the “3 day” course. The Instructor Trainer’s Overall Evaluation. D. Training Materials There are approximately 600 pages to read - so plan on studying prior to and each night of the course. 1. Powerboat Instructor Manual 2. Teaching and Coaching Fundamentals for Sailing (TCF) 3. Start Powerboating Right 4. Powerboat Standards Booklet 5. Safety, Rescue & Support (Draft) Textbook 6. Review questions for the Instructor Manual/Start Powerboating Right and TCF Tests. 7. Medical Form plus additional forms to be completed and/or reviewed before the course. E. Validation of Powerboat Instructors Validation will be for three years providing First Aid, CPR, and US SAILING Adult membership are kept current. Instructor validation is renewable on www.ussailing.org/training. F. Minimum Age Limit for Powerboat Qualification 1. A US SAILING-recognized Powerboat Instructor must be at least 18 years old. G. Course Fees Training Fee for Powerboat Instructor Course: $275 Late fee for application received 1 week prior to a course $50 US SAILING Adult Individual Membership ($60 1 yr, $110 2 yr, $145 3 yr) $_____________ $_____________ $ H. Cancellation policy Course fees are nonrefundable. For cancellations more than 4 weeks before the course date, the fee is transferable to another course. For cancellations within the 4 week period, ½ of the course fee will be transferable to another course. For no-shows, 100% of the course fee is forfeited. Last revised 1/22/08 US SAILING TRAINING PROGRAM POWER BOAT INSTRUCTOR COURSE APPLICATION/REGISTRATION FORM LOCATION OF COURSE: ____________________________________________________________________________ DATE OF COURSE: TODAY’S DATE: _________________________________________ NAME: ____________________________________________________________________________________________ Last First M.I. PERMANENT ADDRESS: ____________________________________________________________________________ No. Street PHONE: (R) DATE OF BIRTH: SEX: EYE COLOR: City State Zip (B) __________________________ (F) (M) (F) HAIR COLOR: NICKNAME E-MAIL: ____________________________________________________ US SAILING MEMBERSHIP # (required for certification): _________________________________________________ CURRENT OCCUPATION ____________________________________________________________________________________________________ Do you have any learning or physical disability that would prevent you from fully participating in this course? ____________________________________________________________________________________________________ IN THE CASE OF AN EMERGENCY _______________________________________________________________________________________________________________ Name Relationship Phone Number Email CURRENT EMPLOYER: NAME: POSITION HELD: (Name of Facility) ADDRESS: _________________________________________________________________________________________ No. Street City State Zip PHONE: _________________________ NAME OF SUPERVISOR: _________________________________________ Last revised 1/22/08 NOTE-REGISTRATION FOR ALL US SAILING TRAINING COURSES ARE ON A FIRST COME, FIRST PAY BASIS! ALL SECTIONS OF THIS APPLICATION MUST BE COMPLETED! CAN YOU SWIM 50 YARDS FULLY DRESSED? _____Yes _____No POWERBOAT EXPERIENCE: List the powerboats you have maneuvered and know well, include whether you used the boat for professional or recreational purposes. TYPE OF BOAT AMOUNT OF TIME RECREATION OR PROFESSIONAL? FORMAL LICENSE/QUALIFICATIONS License/Qualifications CPR Certification (required) First Aid Certification (required) Safe Powerboat Handling Certification (pre-requisite) Safety, Rescue Certification Race Support Endorsement Other US SAILING Certifications OUPV Limited OUPV State Certificate Last revised 1/22/08 Start / Expiration Date Certification # Restrictions USCG Masters TRAINING FEE FOR POWERBOAT INSTRUCTOR COURSE US SAILING ADULT INDIVIDUAL MEMBERSHIP (required for certification) $ 275 $ 60 1 year $ 110 2 year $ 145 3 year $ 50 TOTAL LATE FEE (for registrations one week before course start date) TOTAL REMITTANCE Enclosed is my check/money order payable to US SAILING OR Charge my Visa MasterCard AMEX Card #: ___________________________________________________________Expiration Date: ____________________ Signature: ___________________________________________________________________________________________ The powerboat instructor candidate assumes full responsibility for any loss or damage, excepting loss or damage covered by insurance, that may come to any person, boat, pier, float, or other property used in conjunction with this course as the result of improper use, negligence, violation of the Navigation Rules, and other acts of boaters, or other representatives of the host location in connection herewith. The instructor candidate further agrees to hold the host location, US SAILING, and their representatives harmless for personal injuries and/or property damage. Return this form, along with payment to, US SAILING, Powerboat Training, 15 Maritime Drive, Portsmouth, RI 02871 _______________________________________________________________________________________________ Signature Last revised 1/22/08
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