Independent Instructors Permit Scheme Application Form

Before proceeding please ensure you have the following information/documents at hand:

• Identification document (such as Drivers Licence or Proof of age card)

• EA Qualification/s

• Provide First Aid - (HLTAID011)

• Working with Children Check (WWCC) clearance

• Public Liability Policy minimum $20 million cover

• Applicant head shot photo (similar to passport photo)
  

We will advise you of the outcome of your application, standard turnaround is between 14 & 28 days for a response whilst we carry out relevant checks.

If you have any issues with this system please click on the Save and Continue Later option at the bottom of the screen, then contact the office during normal business hours on  02 9339 6695.

Independant Instructor Policy

All approved Independent Instructors must adhere to Centennial Parklands Independent Instructor Policy when instructing within Centennial Parklands.

All permits are issued subject to compliance with this Policy.

Click here to view the policy, a copy will also be emailed to the address provided.

Application Processing Fee

A non-refundable application processing fee of $220.00 (incl. GST) is required when applying for an Independent Instructors Permit ( the approval is valid for one year and will expire on 30 June). The application processing fee is payable on a pro-rata basis if applying during the permit year, contact the Manager Equestrian Centre for more information.  

Payment can be made in person (at the Manager’s Office, Centennial Parklands Equestrian Centre) or by calling the CPEC Office and providing your credit card details.

If the application is approved an Independent Instructor Permit Fee will be payable before the Permit will be issued.

Applications will only be considered if the Application Processing Fee, photo and supporting documents are attached to the application.

Applicant details

First Name *

Last Name *

Email address *

Send code

Submit code

Resend code

You will receive a verification code to confirm this email.

Mobile contact number *

Business Details

Business/Company Name

ABN

When was the business established?Please enter the year?

Website address

Address details

Business Address *

Street address *Street address line 2

City *

State *Please selectACTNSWNTQLDSATASVICWA

Postcode *

CountryPlease selectAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe

Do you want to add your Postal address?YESNO

Postal Address *

PO Box # *Street address line 2

City *

State *Please selectACTNSWNTQLDSATASVICWA

Postcode *

CountryPlease selectAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe

Intended Teaching Schedule

Please provide details of anticiapted lessons to be underaken.

Approx hours each month for all sessions? *

11 - 25hrs26 - 40hrs41hrs of more

Please select one option only

What days will you be offering lessons? *

MondayTuesdayWednesdayThursdayFridaySaturdaySunday

You may select multiple days

Primary Location/s for lessons? *

A ArenaMain Arena (Private side)Equestrian GroundsSupport Arena (Primarily for learner riders)

You may select multiple locations

Rate Card

Identification

We require proof of identification, as bookings can only be made by persons over the age of 18.

Acceptable forms of identifcation are:

• A NSW Digital Driver Licence
  

• Australian or other passport

• NSW Photo card

• Proof of age card issued by a public authority of the Commonwealth or of another State or Territory for the purpose of attesting to a person's identity and age
  

• Keypass (over-18) identity card issued by Australia Post.

Please upload your identification document/licence *

Browse

Acceptable file formats: jpg, jpeg, gif, bmp, png, doc, docx, svg, tif, heif, tiff, pdf, heic, hevc

Please upload a headshot photo of yourself *

Browse

Similar to a passport photo. Acceptable file formats: jpg, jpeg, gif, bmp, png, doc, docx, svg, tif, heif, tiff, pdf, heic, hevc

Qualification/s

To operate as a Private Instructor you are required to hold a Minimum Level 2 with Equestrian Australia with the nominations for the Areas of Expertise you wish to teach.

UPLOADS

Equestrian Australia Qualification/s *

Browse

Acceptable file formats: jpg, jpeg, gif, bmp, png, doc, docx, svg, tif, heif, tiff, pdf, heic, hevc, eml

HLTAID011 - Provide First Aid Certificate *

Browse

Acceptable file formats: jpg, jpeg, gif, bmp, png, doc, docx, svg, tif, heif, tiff, pdf, heic, hevc, eml

Working with Children Check (WWCC) clearance *

Browse

Acceptable file formats: jpg, jpeg, gif, bmp, png, doc, docx, svg, tif, heif, tiff, pdf, heic, hevc, eml

Insurance Certificate ($20m min) *

Browse

Acceptable file formats: jpg, jpeg, gif, bmp, png, doc, docx, svg, tif, heif, tiff, pdf, heic, hevc, eml

Area of Expertise

Please select your Area of Expertise *

Coaching Athletes with a DisabilityEventingGeneralHackingShow JumpingOther

You may select multiple items

Please enter details: *

Proposed Invoicing Cycle (if approved)

Tax Invoice billing frequency *

MonthlyQuarterlyAnnually

Annual not available for 40hrs or less

Privacy Policy

Centennial Parklands is committed to protecting your privacy. Centennial Parklands is subject to the NSW Privacy and Personal Information Act 1998 (Privacy Act). Centennial Parklands Privacy Management Plan outlines how Centennial Parklands complies with the Privacy Act. Please visit our website at  www.centennialparklands.com.au for more details.

Declaration

I have read and understand the Independent Instructors Permit Responsibilities, Conditions and Fees as outlined in the Independent Instructors Policy document.

I agree to comply with the Independent Instructors Permit Responsibilities, Conditions and Fees as outlined in the Independent Instructors Permit Policy document.

I understand and accept that failure to abide by the above may result in forfeiture of the Independent Instructors Permit.

I understand and accept that the Independent Instructors Permit will only be issued at the discretion of the Centennial Park and Moore Park Trust ( Trust) subject to receipt by the Trust of fees, certificates of insurance, proof of qualification, proof of first aid certification, completed Working with Children Check (WWCC) clearance and a signed Code of Conduct Agreement as well as any other details as listed in the Application Form.

I understand and accept that this Application will need to be considered against the criteria set down by the Policy and that renewal is not automatic from year to year.

Signature of Applicant *

Clear

Date signed *

 

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