Application

Name*

First Middle Last

Please include First, Last Name along with a Middle Initial...If you do not have middle name, please indicate with, "NMN"

Address*

Street Address Address Line 2 City State ZIP Code

Please provide a complete mailing address

Email*

Enter Email Confirm Email

Email address is required to submit application

Can you Swim?*

A Water Fitness Evaluation is required to participate in Scuba Diving training. It consists of Swimming 200 meters without any swim or buoyancy aids, or swim 300 meters using a mask, snorkel and fins. Survival Float, which involves Float or tread in water too deep to stand for ten (10) minutes without any swim or buoyancy aids.

How Comfortable are you in Water?*

Each student is required to complete a water fitness evaluation prior to training. Swim 200 yards without any swim or buoyancy aids, or swim 300 yards using a mask, snorkel and fins. There is no time limit for this exercise, but it must be completed without stopping or standing. Float or tread in water too deep to stand for ten (10) minutes without any swim or buoyancy aids. The student’s face must remain clear of the water for the duration of the exercise.

Date of Birth*

Date of birth is required to submit application

Male or Female*

Male
Female

Cell Phone Number*

phone required if cell phone is not available

What branch of the military did you serve?*

Please select the branch of service you served in to submit application

Last Rank Held*

What was your rank when discharged from the Military?

Dates Served*

Please indicate the period(s) of time you served in the Military

Describe Injury or Disability sustain while serving? Please provide as much detail as possible.*

Please be as detailed as you can regarding injuries or disability ratings. Our instructional staff must be aware of injuries to insure no further injuries are sustained or existing injuries are aggravated.

Upload VA Rating Letter*

Drop files here or

Max. file size: 500 MB, Max. files: 10.

Upload VA Rating Letter for qualifying veterans

How did you learn about WAVES Project?

T-Shirt Size (Male Sizes)*

The above information helps us properly fit you with the Scuba Gear you'll be using in your training course

Shoe SIze*

The above information helps us properly fit you with the Scuba Gear you'll be using in your training course

Height*

The above information helps us properly fit you with the Scuba Gear you'll be using in your training course

Weight*

The above information helps us properly fit you with the Scuba Gear you'll be using in your training course

Are you currently Scuba Certified?*

Yes
No

Are you currently or have you ever been Scuba Certified?

If answered "YES" Level of Certification and Name of Agency

Do you currently have a valid Passport

Yes
No

We ask this because we sometimes have opportunities for dive travel outside the United States

Comments

Do you have a Family Member or Friend you wish to join you in the training program*

Yes
No

Family members or Friends Name

First Middle Last

Please include First, Last Name along with a Middle Initial... If you do not have middle name, please indicate with, "N/A"

Address

Street Address Address Line 2 City State ZIP Code

Please provide a complete mailing address

Can your family member or friend swim?

A Water Fitness Evaluation is required to participate in Scuba Diving training. It consists of Swimming 200 meters without any swim or buoyancy aids, or swim 300 meters using a mask, snorkel and fins. Survival Float, which involves Float or tread in water too deep to stand for ten (10) minutes without any swim or buoyancy aids.

How Comfortable is your family member or friend in Water?

Relationship

What is the relationship to the Veteran Applicant

Dive Buddies Email

Enter Email Confirm Email

Dive buddies email

Dive Buddies Cell Phone

Dive buddies phone required if cell phone is not available

Dive Buddies Date of Birth

Dive Buddies Date of Birth required.

Male or Female

Male
Female

T-Shirt Size (Male Sizes)

The above information helps us properly fit you with the Scuba Gear you'll be using in your training course

Shoe SIze

The above information helps us properly fit you with the Scuba Gear you'll be using in your training course

Height

The above information helps us properly fit you with the Scuba Gear you'll be using in your training course

Weight

The above information helps us properly fit you with the Scuba Gear you'll be using in your training course

Is your buddy currently Scuba Certified?

Yes
No

Are you currently or have you ever been Scuba Certified?

If answered "YES" to being SCUBA certified please describe

Does your dive buddy currently have a valid Passport

Yes
No

We ask this because we sometimes have opportunities for dive travel outside the United States

Please prove you are human by selecting the tree.

Contact Us

Additional Resources

Our Mission

Contact Us

Additional Resources

Our Mission