VDRC Instructor Application

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Name *

First

Last

Email *

Phone *

There are two pathways to becoming an approved instructor at the VDRC.

Please select which pathway is applicable to you: *

Equestrian Canada Certified Instructor
Non-Certified Instructor

Equestrian Canada Certification *

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Please attach an image or file of your instructor certificate from Equestrian Canada. It must include your name and the date issued.

a) Mandatory Safe Sport Training

i) Fostering Healthy Equestrian Environments *

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Please attach an image or file.

Expiry Date *

ii) Making Head Way In Sport (Multisport) or EC: Concussion Awareness *

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Expiry Date *

iii) Standard First Aid or higher *

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Expiry Date *

b) Screening

i) Criminal Record Check Date Issued within the last 3 yrs: *

ii) Vulnerable Sectors Service Check. Date Issued: *

iii) 2 References (Students, Parents of Students, Employers). Require name, phone, and email.

Reference 1 Name *

First

Last

Reference 1 Phone

Reference 1 Email *

Reference 2 Name *

First

Last

Reference 2 Phone

Reference 2 Email *

c) Minimum of twenty (20) hours of upgrading in every three (3) year period

i) List your upgrading hours and dates:

d) Certificate of Insurance with minimum coverage of:

Date ii) or

i) $ 5,000,000 General Liability

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ii) $100,000 Professional Liability Coverage

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Please wait for a confirmation email before coaching at the VDRC