Title:

Membership no

First name:

Surname:

Address:

Postal address (if different from above)

Telephone:

Fax:

Mobile:

Email:

Date of birth:

 Office Use only

What is your nationality?

(if New Zealand National, supply copy of page one of passport or citizenship certificate)

¨  Yes

¨  No

Copy of passport

If not New Zealand citizen, do you have permanent residence?

(please supply copy of permanent residency visa)

 Yes

 No 

¨  Yes

¨  No

Copy of resident visa

Do you hold a current first aid certificate?

If not, we strongly recommend to obtain one.

 Yes

 No

¨  Yes

¨  No

Copy of certificate

Do you hold a passenger endorsement license?

 Yes classes:    1         2      3      4     5      6

 No

Do you have any educational qualifications related to guiding?

 Yes, please specify:

 No

Indicate which would best describe your status as a guide.

  primary occupation

  secondary occupation

 Owner / Operator

 Self Employed / Freelance

 Employed permanently

 Employed seasonal

 No longer practice

 Trainee

What other work do you do?

Experience as a Tour Guide or Tour Manager

Name of company 1:

Type of company e.g. inbound tour operator

How many years have you worked for this company?

Years:

From:

To:

Number of weeks spent guiding per year:

Number of tours guided:

Name of company 2:

Type of company e.g. inbound tour operator

How many years have you worked for this company?

Years:

From:

To:

Number of weeks spent guiding per year:

Number of tours guided:

Name of company 3:

Type of company e.g. inbound tour operator

How many years have you worked for this company?

Years:

From:

To:

Number of days/weeks spent guiding per year:

Number of tours guided:

Referee

All applicants must nominate a referee from at least one company they have provided guiding services to.

Name of company :

Name of referee:

Position with company:

Address, phone and e-mail details of referee company:

Address, phone and e-mail details of second referee company:

Indicate any specialist qualifications, knowledge or interests you have which are relevant to your professional engagements as a tour guide

Tour

Yes

Tour

Yes

Agriculture

Geology

Architecture

Golf

Fauna

History

Flora

Music

Food

Maori Culture

Gardening

Trekking

Others – please list below

Wine

Indicate what languages you speak fluently (to guiding standard) and in which you have conducted guiding activities or in what language you got basic to moderate knowledge

Mother Tongue Language

Yes

No

Other Languages

Fluent

Basic

English

English

Others – please list

According to the Unsolicited Electronic Messages Act, I give my permission to receive regular news and offers from ProGuides New Zealand.

 YesNo

How did you hear about ProGuides:

Your reasons for wanting to join the association: