Answer these questions and send it to: reservations@jostvandykescuba.com
Complete Name
Street Address
City
State/Province/Region*
Postal/Zip Code
Country*
E-mail*
Date of birth (MM/DD/YYYY)*
Gender*
Current number of dives?*
Current level of dive training*
What languages do you speak?
What Countrie have you traveled to?
Indicate your educational background. Describe.*
Describe your hobbies and recreational pursuits: *
Please name any special awards, commendations, or others achievements that you have earned or been recognized for*
What kind of music do you listen to*
What type of books/literature do you enjoy reading? Give examples:*
Do you have any famous role models or people you look up to?*
What type of work/jobs have you had before?*
Have you ever been cited for a DUI? Have you been involved in any type of criminal prosecution?*
Have you ever been directly or indirectly involved in a diving accident? Please explain:*
Do you take any prescription medications on a regular basis? If so, we ask that you disclose this to us in order to assess your safety in our Program. Thank you.*
What do you see yourself doing as a Profession/Career in your future?*
Why do you wish to do a SCUBA Internship? And why are you wishing to do the Internship with our Company?*
What approximate dates do you wish to begin and finish your Internship with us, if accepted?*