Captain Background Initial Assessment

Name *

First

Last

a (“no Email

Phone *

Email *

Working Preference *

SaferBoater Training Instructor
TrustedBoater Assessor
Both

- Instructors Teach on-water courses to students for education purposes.
- Assessors observe and grade customer's skill level to meet insurance and government requirements

Years of Boating Experience *

Years of Teaching Experience *

None
Less Than 3 Years
More than 3 Years

* Years of Teaching Experience (any subject, not just boating)

List Your Experience *

MMC Credentials *

None
OUPV
25T - 500T+

Background Disclosure

Notice of Mandatory Investigation: In accordance with established safety and regulatory protocols, all applicants must undergo a Level 2 Background Investigation to verify compliance with legal, governmental, and educational standards.

Integrity Requirement: Full transparency and candor are mandatory. Any attempt to provide false information, omit relevant facts, or misrepresent your background—regardless of the nature of the entry—will result in immediate disqualification from the application process or termination of any affiliation with the SaferBoater and TrustedBoater programs. Information disclosed is subject to official verification.

Do You Agree with these Disclosure Terms? *

I Agree
I Do Not Agree

1) Have you EVER pled guilty or nolo contendere (“no contest”) to, or been found guilty of, a FELONY crime? *

Yes
No

2) Have you EVER pled guilty or nolo contendere (“no contest”) to, or been found guilty of, a MISDEMEANOR crime involving: (a) a financial industry law, rule or regulation; (b) lying/dishonesty, cheating or fraud, money laundering or breach of trust; or (c) burglary, or theft (in any form, including that of funds or securities or financial instruments?) *

Yes
No

3) Have you EVER pled guilty or nolo contendere (“no contest”) to, or been found guilty of, a MISDEMEANOR crime involving sexual misconduct or indecency? *

Yes
No

STOP :
Questions 1-3 represent events that will disqualify an application for up to 10 years from date of incident in most circumstances, or permanently in certain circumstances.
If you wish to proceed, a full explanation may require additional court documentation.

If you wish to proceed, agree here to acknowledge that background checks are non-refundable. *

I Agree, Continue
I Do Not Agree

4) Regardless of outcome, have you ever been charged with OR pled guilty, no contest or nolo contendere to, or been found guilty in a state, federal or military court in the US or any other country of a non-felony involving misconduct? *

Yes
No

5) Have you ever been discharged or permitted to resign from any contract, position or employment (including a military position) following allegations of misconduct? *

Yes
No

6) Have you EITHER been barred, expelled or suspended from engaging in a trade, profession or government contract by court order, injunction or otherwise, OR Have you had a trade or professional license denied, revoked, suspended or restricted? *

Yes
No

7) Have you ever had a bonding company deny, pay out on, or revoke a bond on you? *

Yes
No

8) Have you EVER pled guilty or nolo contendere (“no contest”) to, or been found guilty of, a crime NOT specified in any of the questions above? *

Yes
No

9) Is there now pending against you any criminal court action? Include any pre-trial intervention program, deferred prosecution program, conditional discharge program, court-ordered community service requirements, or any probation requirements *

Yes
No

Thank You for your Interest

At this time, we are unable to move forward with your application. There is no need to submit this incomplete assessment. Thank you for your Time - SaferBoater

We are unable to move forward at this time as our current requirements for SaferBoater Instructors and TrustedBoater Assessors include:

10+ years of boating experience
3+ years of teaching experience
Active MMC credentials

We appreciate your passion for maritime safety and encourage you to reapply once you have met these milestones.
-SaferBoater

Upon assessment submission, you will be directed to the full application where you can fill out your profile and tell us more about your experience and credentials.

Captain Background - Initial Assessment

Background Disclosure

Thank You for your Interest