SKIPPER APPLICATION AND RESUME

Contact Information

Name

First

Last

Nickname (optional)

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Email

.

Phone

Primary

Secondary (optional)

.

Address

Street

City

State

Zip

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Driver's License Info (used only upon acceptance into the club for charter purposes)

Number

State Issued

Expiration Date

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Boating Experience

How many years have you been sailing?

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Please list the maritime certificates and/or licenses you hold and boating courses completed

.

Please list all relevant sailing experience starting from the most recent

Type / Size of Vessel

Type of Operation

Area of Operation

Position

Dates

Type / Size of Vessel

Type of Operation

Area of Operation

Position

Dates

Type / Size of Vessel

Type of Operation

Area of Operation

Position

Dates

Type / Size of Vessel

Type of Operation

Area of Operation

Position

Dates

Type / Size of Vessel

Type of Operation

Area of Operation

Position

Dates

Type / Size of Vessel

Type of Operation

Area of Operation

Position

Dates

Type / Size of Vessel

Type of Operation

Area of Operation

Position

Dates

Type / Size of Vessel

Type of Operation

Area of Operation

Position

Dates

.

Are You Proficient At (Check All That Apply):

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Additional Experience

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