Instructor Application Form
Applicant’s Name
Please Affix a recent passport photo of yourself here
Tai Mong Tsai, Sai Kung, New Territories, Hong Kong.
www.outwardbound.org.hk
Outward Bound Hong Kong is the first officially accredited experiential education organisation within Asia
Personal Information
English Name
Chinese Name
Postal Address
Email Address
Mobile Telephone Number
Home Telephone Number
Date of Birth & age
Nationality
Passport Number / HK ID Number
Do you have a criminal record?
Family status
Education History
School/College/University/etc Qualifications Obtained Dates
Employment History (beginning with most recent) Name of employer Dates Job title Job responsibility
Outdoor and First Aid Qualifications
Activity Provider Qualification Dates
Skills Level Please tick the box to show which level you are in each area. Beginner Medium Advanced Swimming Ability
Sea Kayaking Rock Climbing Abseiling High Ropes Mountaineering
Facilitation Skills Outdoor Leadership Experience
Dates Numbe
r of Days
Programme / course / activity
Employer
Hard skill Training /
Experiential Education
Lead Instructor /
Assistant instructor
Outward Bound Experience Dates Location Course Length Course Type
Have you ever been convicted of a criminal offence? c Yes c No If so, please give details. A conviction does not necessarily bar you from consideration for employment. Languages (Cantonese & Mandarin preferred)
Language Fluent Mediocre Basic
References Reference Requirements: Outward Bound Hong Kong requires the following:
• A minimum of three written references with up to date contact details. OBHK will be contacting your previous employers.
• References must be from your last two employers • References must be no longer than 6-12 months old.
Please attach the three written references to this application form (one from your most recent employer) and fill in their contact details below.
Name Position Contact Details Relationship
By my signature I accept and give my full consent that OBHK may contact all my prior employers for a reference check. Signature: Name:
Date:
