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Application For Australian Canoeing Sea Kayak Guide (level 2 by lindayy

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Application For Australian Canoeing Sea Kayak Guide (level 2 ...

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									    Application For Australian Canoeing
       Sea Kayak Guide (level 2) Award

1      Address
             First Name                                            Postal Address



             Last Name
                                                                     Suburb/Town


            Date of Birth                  /       /                           State                               Postcode

            Home Telephone       (     )                                          Work Telephone        (    )

                    Facsimile    (     )                                                       Mobile


    Email


2      Payment Details
Please complete the AC Fee Form and attach to the end of this documentation


3 Course Provider Information
              Provider Name
                                                                           Postal Address
              Contact’s Name
                                                                             Suburb/Town
              Telephone (BH)
                                                                                       State                         Postcode


4 Australian Canoeing Declaration
      The information you provide remains confidential to AC. AC will not supply our member’s personal details to any outside parties.
      You may receive mail or email regarding the program and any promotions, exclusive offers or benefits available to AC members.
      If you DO NOT wish to receive mail or email other than the information on the program please tick the box.



5 How to use this form
      Use this form to collate your evidence for the Award
      For each prerequisite award, either attach a copy of the students current award or note evidence and attach copies
                 Note; only the highest award held need be attached
      A copy of the completed form (without the evidence) should be forwarded to AC for processing of the Award
      A copy of the form and all evidence must be retained by the NTP




                                                                                                                                  Sea Guide (level 2)
                                                                                                                                   January 10, 2007
     Sea Kayak Guide (level 2) Award


Overall Assessment of Australian Canoeing Introduction to Sea Kayak Guide (level 2) Award
I have assessed __________________________ as able to perform to the level of the qualification definition as follows;

             Holders of a Sea Guide (level 2) award have been assessed and are qualified to lead / guide novice groups on
             trips and expeditions in moderate sea conditions. Moderate sea conditions are defined as areas where the
             coastline may be simple, not involving overfalls, tidal races, difficult landings or open crossings and;
                         ·    minimum winds of 7-10 knots (12-19 km/h)
                         ·    breaking waves (up to 1. 0 m)
                         ·    small surf (0.5 to 1.0 m)
             A Sea Guide (level 2) has demonstrated that they have a high standard of leadership and paddling ability. A
             guide is only qualified to impart skills or knowledge that is necessary for a person to participate safely and
             adequately in canoeing and kayaking.

             At the end of a session or program with a guide, the intent is not for the participant to have acquired the skills to
             independently participate in the activity.

The candidate understands the following;
         The structure of the Australian Canoeing Award Scheme (ACAS)
         The training, assessment and appeals process of the ACAS
         That as a registered Australian Canoeing Guide or Instructor, the AC constitution is a contract between
         themselves and AC.
         To remain registered as an Australian Canoeing Guide or Instructor they agree to be bound by it and any
         Policies, Guidelines or By-laws made under it including the Code of Behaviour in the AC Member Protection
         By-law and the Safety Guidelines.
                                                                       Signed: _________________________ Assessor
.
6a      Prerequisite units of competence – Introduction to Sea Skills Award – SRO03
SROKYS001A
                                                                                         Evidence               Comp / NY Comp
Demonstrate simple sea kayaking skills
Select equipment
Plan for the activity
Embark and disembark the craft
Manoeuvre the craft in controlled conditions
Apply capsize procedures
Secure craft
SRONAV001B
                                                                                         Evidence               Comp / NY Comp
Navigate in tracked or easy untracked areas
Use a map
Use a compass
Plan a route in tracked or easy untracked areas
Navigate in tracked or easy untracked areas
SROOPS001B
                                                                                         Evidence               Comp / NY Comp
Implement minimal environmental impact practices
Determine the environmental impacts of outdoor recreation activities
Adopt minimal impact practices
SROOPS003B
                                                                                         Evidence               Comp / NY Comp
Apply weather information
Apply weather information
Interpret weather information




                                                                                                                Sea Guide (level 2)
                                                                                                                 January 10, 2007
       Sea Kayak Guide (level 2) Award


6a      Prerequisite units of competence – Introduction to Sea Skills Award – SRO03 (Continued)
SROODR001A
                                                                                         Evidence           Comp / NY Comp
Apply basic outdoor recreation logistics
Make logistical arrangements
Select and use suitable outdoor equipment
Identify, plan and monitor food requirements
Identify and plan for water needs and usage
Identify and plan clothing requirements
Participate in an outdoor activity
                                                                Statement of           Competent (C)            Assessor
Overall Assessment of Evidence                              attainment required   Not Yet Competent (NYC)     initial & date
Introduction to Sea Skills Award                                    Yes / No

6b      Prerequisite units of competence - Sea Skills Award - SRO 03
SROKYS002A
                                                                                         Evidence           Comp / NY Comp
Demonstrate simple sea kayaking skills to a high standard
Select equipment
Plan for the activity
Embark and disembark the craft
Manoeuvre the craft in controlled conditions
Apply navigation skills
Apply capsize procedures
Secure craft
SROKYS003A
                                                                                         Evidence           Comp / NY Comp
Apply sea kayaking skills in moderate conditions
Select equipment
Plan for the activity
Embark and disembark
Control the craft in moderate sea conditions
Plan and conduct a sea kayak trip
Apply capsize procedures
Roll a sea kayak in surf of up to one metre in height
Demonstrate navigational skills in all conditions on a sea kayak trip
Demonstrate skills for reading the weather and sea
SROKYS005A
                                                                                         Evidence           Comp / NY Comp
Plan and navigate a sea kayaking inshore passage
Use and care for coastal navigational charts, nautical publications and related
documentation
Plan route for inshore voyage
Conduct an inshore passage
Fix sea kayak group’s position within a limited area
SROOPS002B
                                                                                         Evidence           Comp / NY Comp
Plan for minimal environmental impact
Identify the interrelationships occuring within a natural environment
Identify sources of environmental impact
Identify sources of social impact
Plan for minimal impact
Implement methods to minimise impact                                                     Evidence           Comp / NY Comp
Monitor and review minimal impact practices




                                                                                                            Sea Guide (level 2)
                                                                                                             January 10, 2007
       Sea Kayak Guide (level 2) Award


6b      Prerequisite units of competence - Sea Skills Award - SRO 03 (Continued)
SROCNE003A
                                                                                            Evidence           Comp / NY Comp
Perform deep water rescues
Assess the situation
Demonstrate rescue procedures
SROOPS007B
                                                                                            Evidence           Comp / NY Comp
Interpret weather for marine environments
Interpret weather information from a weather map and make forecasts
Collect, record and interpret weather information in a specific marine region
Interpret weather information for aquatic activities at a specific marine location
                                                                 Statement of             Competent (C)             Assessor
Overall Assessment of Evidence                               attainment required     Not Yet Competent (NYC)      initial & date
Sea Skills Award                                                   Yes / No


6c      Prerequisite units of Competence – Sea Leaders Award - SRO 03
SRX GRO 003A
                                                                                            Evidence           Comp / NY Comp
Provide leadership to groups
Demonstrate appropriate standards of performance
Influence individuals and groups
Make decisions
Facilitate group decision making
Demonstrate appropriate leadership styles
SRORIK001A
                                                                                            Evidence           Comp / NY Comp
Undertake risk analysis of activities
Establish the context of the risk analysis
Identify risks associated with an activity
Conduct risk analysis of an activity
Undertake risk assessment of an activity
Treat risks associated with an activity
Monitor and review the risk management for an activity
SRXOHS001B
Follow defined Occupational Health and Safety policies and                                  Evidence           Comp / NY Comp
procedures
Follow workplace procedures for hazard identification and risk control
Contribute to participative arrangements for the management of occupational health
and safety
                                                                 Statement of             Competent (C)        Assessor initial &
Overall Assessment of Evidence                               attainment required     Not Yet Competent (NYC)        date
Sea Leaders Award                                                    Yes / No

7        Units of Competence – Sea Kayak Guide (level 2) – SRO 03
PUEOPE002A                                                                                Competent (C)          Assessor initial
Operate communications systems and equipment                                         Not Yet Competent (NYC)         & date
Use communication systems and equipment
Transmit and receive communications
Maintain communications equipment




                                                                                                               Sea Guide (level 2)
                                                                                                                January 10, 2007
     Sea Kayak Guide (level 2) Award

7    Units of Competence – Sea Kayak Guide (level 2) – SRO 03 (Continued)
SROOPS006B                                                                           Competent (C)        Assessor initial &
Use and maintain a temporary or overnight site                                  Not Yet Competent (NYC)        date
Select a temporary site
Establish a shelter
Maintain a temporary site
SROODR002A                                                                           Competent (C)        Assessor initial &
Plan outdoor recreation activities                                              Not Yet Competent (NYC)        date
Make logistical arrangements
Select and use suitable outdoor equipment
Identify, plan and monitor food requirements
Identify and plan for water needs and usage
Identify and plan clothing requirements
Participate in an outdoor activity
Deal with non-routine situations
SROODR003A                                                                           Competent (C)        Assessor initial &
Plan outdoor recreation activities (advanced)                                   Not Yet Competent (NYC)        date
Make logistical arrangements
Select and use suitable outdoor equipment
Identify, plan and monitor food requirements
Identify and plan for water needs and usage
Identify and plan clothing requirements
Participate in an outdoor activity
Deal with non-routine situations
SROODR005A                                                                           Competent (C)        Assessor initial &
Guide outdoor recreation sessions                                               Not Yet Competent (NYC)        date
Collect information to plan a session
Produce a session plan
Resource a session
Maintain clients’ physical welfare
Maintain a positive social environment
Establish effective communication
Ensure client safety
Prepare clients to end the session
Evaluate the session
SROKYS006A                                                                           Competent (C)        Assessor initial &
Guide sea kayaking trips (easy to moderate conditions)                          Not Yet Competent (NYC)        date
Select appropriate equipment for the group
Plan a paddling trip for clients
Brief clients
Maintain physical welfare group
Establish effective communication
Lead a group of canoeists safely
Select and maintain a temporary site using minimal impact practices
Conduct activity in a professional manner
Complete post-trip responsibilities
SROFAD001A
                                                                                   Issuing Authority         Expiry Date
Apply basic first aid
Attach copy of current Workcover approved First Aid qualification
                                                             Statement of           Competent (C)             Assessor
Overall Assessment of Evidence                           attainment required   Not Yet Competent (NYC)      initial & date
Sea Kayak Guide Award (level 2)                                  Yes / No




                                                                                                          Sea Guide (level 2)
                                                                                                           January 10, 2007
  Sea Kayak Guide (level 2) Award


8 Assessment Information
  On behalf of Australian Canoeing I request that Australian Canoeing register the above person for an Australian Canoeing Guiding Award.
  I certify that the assessment was conducted by Australian Canoeing appointed Assessors, according to the requirements of the Australian
  Canoeing Award Scheme.
            Assessment vessel: (Description;___________________________)

             Course Date                                                          Venue


              Assessor 1                                                     Assessor 2

                Signature                                                      Signature

                    Date                                                           Date


9 Candidate Declaration
  I declare that all information contained in my Application for an Australian Canoeing Guiding Award to be true and accurate at the time of
  submission and that I shall notify Australian Canoeing in the event of change of information.
  I have viewed the Assessor’s remarks on the Units of Competence

           Student Name                                                        Signature




    Note: all applicants for Instructor or Guide awards must sign the declaration overleaf




                                                                                                                               Sea Guide (level 2)
                                                                                                                                January 10, 2007
     Sea Kayak Guide (level 2) Award

10       Registration Application and Declaration

     I                                                      of
                             Name                                                                  Address
         hereby apply for Registration as an AC Guide or Instructor. In so applying and in consideration of my application for registration
         being accepted I acknowledge and agree that:
               1. “AC” for the purposes of this registration application and declaration means and includes Australian Canoeing
                    Incorporated, its members (including State Associations and Affiliated Clubs) and where the context so permits, their
                    respective directors, officers, members, servants or agents.
               2. If accepted I will be registered as an AC Guide or Instructor.
               3. This document cannot be amended. If I do amend it my application will be null and void. It cannot be accepted by AC.
               4. I acknowledge that as an instructor or guide I am an ambassador for AC and agree to present a positive image of
                    myself, AC and the Awards Scheme
               5. The AC Constitution is a contract between me and AC. I will be bound by it and any Policies, Guidelines or By-laws
                    made under it. It is necessary and reasonable for promoting AC and canoeing.
                          a. For the avoidance of doubt, I acknowledge and agree to comply with the Constitution and By-laws of AC, in
                               particular the Code of Behaviour in the AC Member Protection By-law
                          b. I agree to comply with the Safety Guidelines,
                          if my application is accepted.
                               
               6. Exclusion of Liability: Except where provided or required by law and such cannot be excluded, I agree that it is a
                    condition of my registration (if accepted) that AC is absolved from all liability however arising from injury or damage
                    however caused (whether fatal or otherwise) arising out of my registration and/or participation in any AC Activity.
               7. Release and Indemnity: In consideration of AC accepting my application for registration I;
                          a. Release and forever discharge AC from all Claims that I may have or may have had but for this release
                               arising from or in connection with my registration and/or participation in any AC Activity; and
                          b. Indemnify and hold harmless AC to the extent permitted by law in respect of any Claim by any person arising
                               as a result of or in connection with my registration and/or participation in any AC Activity.
                    In this clause 8 "Claims" means and includes any action, suit, proceeding, claim, demand, damage, penalty, cost or
                    expense however arising but does not include a claim in respect of any action, suit, etc made by any person entitled to
                    make a claim under a relevant AC insurance policy or under the AC Constitution or any By-laws.
               8. Fitness to Participate: I declare that I am and must continue to be medically and physically fit and able to participate in
                    any AC Activity. I am not and must not be a danger to myself or to the health and safety of others. I will immediately
                    notify AC in writing of any change to my fitness and ability to participate. I understand and accept that AC will continue
                    to rely upon this declaration as evidence of my fitness and ability to participate.
               9. I have provided the information required overleaf and signed both sides of this form. I warrant that all information
                    provided is true and correct.
               10. Privacy: I understand that the information I have provided overleaf is necessary for the Objects of AC. I acknowledge
                    and agree that the information will be will be used only for the Objects of AC and to provide me with registration
                    services. I understand that I will be able to access my information. If the information is not provided my registration
                    application may be rejected.
                    I acknowledge that AC may also use my personal information in accordance with the AC Privacy By-law. I may advise
                    AC If I do not wish to receive from AC any AC sponsors or third parties' promotional material.
          Copyright: in photographs and right to use: I acknowledge and consent to photographs being taken of me during my
         participation in AC activities. I acknowledge that the photographs are owned by AC and that AC may use the photographs for
         promotional or other purposes without my further consent being obtained.
         I have read, understood, acknowledge and agree to the above declaration including the warning, exclusion of liability, release
         and indemnity. I acknowledge that if my application for registration is successful I will be entitled to all benefits, advantages,
         privileges and services of AC registration


          Signature                                          Name                                                 Date          /       /


                                                              OFFICE USE ONLY

                                                                                              Added to SoA
Entered MyClub                        Qual ID                      ATC SoA        Y/N          spreedsheet                  Invoice #



                                                                                                                              Sea Guide (level 2)
                                                                                                                               January 10, 2007

								
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