Instructor Crossover Part 2 Instructor Crossover Application Part 2 Name First Last Email PrerequisitesPlease enter the name of the agency that issued your prerequisite certification. For certifications other than NovoScuba, please select the agency that certified you and upload a copy of your certification card. To avoid delays ensure that your image clearly shows your full name, certification level, certification date and certification agency.Independent Diver/Open Water Diver(Required)NovoScubaPADISSIRAIDSDICMASNAUIOtherPlease enter the name of the certification agency that issued your Independent Diver/Open Water Diver certification Dive Explorer/Advanced Open Water Diver(Required)NovoScubaPADISSIRAIDSDICMASNAUIOtherPlease enter the name of the certification agency that issued your Dive Explorer/Advanced Open Water Diver certification Rescue Diver(Required)NovoScubaPADISSIRAIDSDICMASNAUIOtherPlease enter the name of the certification agency that issued your Rescue Diver certification Divemaster(Required)NovoScubaPADISSIRAIDSDICMASNAUIOtherPlease enter the name of the certification agency that issued your Divemaster certification Instructor(Required)NovoScubaPADISSIRAIDSDICMASNAUIOtherPlease enter the name of the certification agency that issued your Instructor certification Upload your certification card(s) for courses not certified through NovoScuba(Required) Drop files here or Select files Max. file size: 10 MB. Missing PADI Certification Card? Use PADI Diver Verification to access your certification recordsMissing PADI Certification Card? Use PADI Pro Check to access your certification recordsMissing SSI Certification Card? Use SSI Diver Verification to access your certification recordsMissing RAID Certification Card? Use RAID Diver Verification to access your certification recordsMissing SDI Certification Card? Use SDI Diver Verification to access your certification recordsMissing CMAS Certification Card? Use NAUI Diver Verification to access your certification recordsMissing CMAS Certification Card? Use CMAS Diver Verification to access your certification recordsFirst Aid(Required)NovoScubaEFRSSIRAIDDANOtherPlease enter the name of the certification agency that issued your certification Upload your certification card or certificate for First Aid(Required) Drop files here or Select files Max. file size: 10 MB. Diving MedicalDate of Diving Medical DD slash MM slash YYYY Your medical is more than one year old. Your application requires a medical examination within the last 12 months.Please upload your current diving medical. Your medical must be dated within the last 12 months.(Required) Drop files here or Select files Max. file size: 10 MB. Please select any Dive Specialist Instructor or Speciality Instructor certifications that you hold Altitude Diver Instructor Boat Diver Instructor Buoyancy Diver Instructor DPV Diver Instructor Drift Diver Instructor Deep Diver Instructor Dry Suit Diver Instructor Multimedia (Photography) Diver Instructor Navigation Diver Instructor Night Diver Instructor Nitrox Diver Instructor Search and Recovery Diver Instructor Wreck Diver Instructor Upload proof of your certification for any Dive Specialist/Speciality Instructor certifications checked above. We will issue complimentary certifications for the corresponding NovoScuba Dive Specialist Instructor course Drop files here or Select files Max. file size: 10 MB. How many students have you certified? Enter number(Required)Congratulations! As an experienced instructor you have qualified for our Fast Track Crossover Program. Please upload supporting documentation showing more than 100 certification issued.(Required)Max. file size: 524 MB.Acceptable documentation includes certificates or letters from a certification agency showing more than 100 certs, or a screenshot of your total certs from your current training agencyPlease upload your photo for your certification card(Required)Max. file size: 524 MB.This should be a head and shoulders phot of your self. No dark glasses or hats. Consent and SignatureConsent(Required) I hereby declare that all the information I have provided is true and accurate to the best of my knowledge. I have read the Membership Agreement and hereby consent and agree to the terms and conditions in their entirety. I understand and agree that any criminal conviction on my part involving abuse of a minor or sexual abuse of an adult occurring either during or prior to my membership with NovoScuba, will be automatic grounds for denial or termination of my NovoScuba Membership. I hereby certify that all the above statements are true and correct to the best of my knowledge.Signature(Required)Date(Required) DD slash MM slash YYYY CAPTCHA
