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Advanced Open Water Diver

DOCUMENTATION WORKSHEET
(For PADI Instructor Use Only)
PLEASE PRINT CLEARLY

Diver Name _______________________________________ Mailing Address ________________________________City


____________________________ State/Province ___________________ Country _________ Zip/Postal Code _____________
Phone (____) ____________________ Email ____________________________ Birth Date ____________ Sex M F

Notes to the PADI Instructor


• Use this worksheet to keep a record of a student diver’s completion of course requirements.

• Refer to the Advanced Open Water Diver Course Instructor Guide in your PADI Instructor Manual for course standards and
certification requirements, and to PADI’s Guide to Teaching for more information about teaching the course.

• This documentation worksheet is for your use only; retain it for your files. It’s not needed for certification processing; don’t forward it
to your PADI Regional Headquarters.

Introduction and Thinking Like A Diver Knowledge Development Section


Date Completed _____________
Instructor name* _________________________ PADI No. ____________
Adaptive Support Diver+ Digital Underwater Imaging Dive
Knowledge Review Completed q Course Completion Date____________ Knowledge Review Completed q Dive Completion Date_____________
Instructor name* _________________________ PADI No. ____________ Instructor name* _________________________ PADI No. ____________
Diver signature** _______________________ Date________________ Diver signature** _______________________ Date________________
Altitude Dive Dive Against Debris Dive+ (AWARE)
Knowledge Review Completed q Dive Completion Date_____________ Knowledge Review Completed q Dive Completion Date_____________
Instructor name* _________________________ PADI No. ____________ Instructor name* _________________________ PADI No. ____________
Diver signature** _______________________ Date________________ Diver signature** _______________________ Date________________
Boat Dive Diver Propulsion Vehicle Dive+
Knowledge Review Completed q Dive Completion Date_____________ Knowledge Review Completed q Dive Completion Date_____________
Instructor name* _________________________ PADI No. ____________ Instructor name* _________________________ PADI No. ____________
Diver signature** _______________________ Date________________ Diver signature** _______________________ Date________________
Cavern Dive+ Drift Dive
Knowledge Review Completed q Dive Completion Date_____________ Knowledge Review Completed q Dive Completion Date_____________
Instructor name* _________________________ PADI No. ____________ Instructor name* _________________________ PADI No. ____________
Diver signature** _______________________ Date________________ Diver signature** _______________________ Date________________
Deep Dive (required for Advanced Open Water Diver certification) Dry Suit Dive
Knowledge Review Completed q Dive Completion Date_____________ Knowledge Review Completed q Dive Completion Date_____________
Instructor name* _________________________ PADI No. ____________ Instructor name* _________________________ PADI No. ____________
Diver signature** _______________________ Date________________ Diver signature** _______________________ Date________________
Delayed Surface Marker Buoy Dive Enriched Air Dive+
Knowledge Review Completed q Dive Completion Date_____________
Knowledge Review Completed q Dive Completion Date_____________
Instructor name* _________________________ PADI No. ____________
Instructor name* _________________________ PADI No. ____________
Diver signature** _______________________ Date________________
Diver signature** _______________________ Date________________

+ Must be a PADI Specialty Instructor for the specialty to conduct the Adventure Dive
* Instructor name and PADI number verifying completion of requirements.
** “I verify that I have completed all of the Performance Requirements for this Adventure Dive. I realize that there is more to learn about this type of diving and that completion
of a PADI Specialty Diver course in this area is highly recommended.”

Product No. 10090 (Rev. 09/17) Version 4.01 © PADI 2017


Fish Identification Dive Shark Conservation Dive+ (AWARE)
Knowledge Review Completed q Dive Completion Date_____________ Knowledge Review Completed q Dive Completion Date_____________
Instructor name* _________________________ PADI No. ____________ Instructor name* _________________________ PADI No. ____________
Diver signature** _______________________ Date________________ Diver signature** _______________________ Date________________
Full Face Mask Dive+ Sidemount Dive+
Knowledge Review Completed q Dive Completion Date_____________ Knowledge Review Completed q Dive Completion Date_____________
Instructor name* _________________________ PADI No. ____________ Instructor name* _________________________ PADI No. ____________
Diver signature** _______________________ Date________________ Diver signature** _______________________ Date________________
Ice Dive+ Underwater Naturalist Dive
Knowledge Review Completed q Dive Completion Date_____________ Knowledge Review Completed q Dive Completion Date_____________
Instructor name* _________________________ PADI No. ____________ Instructor name* _________________________ PADI No. ____________
Diver signature** _______________________ Date________________ Diver signature** _______________________ Date________________
Night Dive Underwater Navigation Dive
Knowledge Review Completed q Dive Completion Date_____________ Knowledge Review Completed q Dive Completion Date_____________
Instructor name* _________________________ PADI No. ____________ Instructor name* _________________________ PADI No. ____________
Diver signature** _______________________ Date________________ Diver signature** _______________________ Date________________
Peak Performance Buoyancy Dive Wreck Dive
Knowledge Review Completed q Dive Completion Date_____________ Knowledge Review Completed q Dive Completion Date_____________
Instructor name* _________________________ PADI No. ____________ Instructor name* _________________________ PADI No. ____________
Diver signature** _______________________ Date________________ Diver signature** _______________________ Date________________
Rebreather Dive+ Adventure Dive
Knowledge Review Completed q Dive Completion Date_____________ Knowledge Review Completed q Dive Completion Date_____________
Instructor name* _________________________ PADI No. ____________ Instructor name* _________________________ PADI No. ____________
Diver signature** _______________________ Date________________ Diver signature** _______________________ Date________________
Search & Recovery Dive Adventure Dive
Knowledge Review Completed q Dive Completion Date_____________ Knowledge Review Completed q Dive Completion Date_____________
Instructor name* _________________________ PADI No. ____________ Instructor name* _________________________ PADI No. ____________
Diver signature** _______________________ Date________________ Diver signature** _______________________ Date________________
Self-Reliant Dive+
Knowledge Review Completed q Dive Completion Date_____________
Instructor name* _________________________ PADI No. ____________
Diver signature** _______________________ Date________________

+ Must be a PADI Specialty Instructor for the specialty to conduct the Adventure Dive
* Instructor name and PADI number verifying completion of requirements.
** “I verify that I have completed all of the Performance Requirements for this Adventure Dive. I realize that there is more to learn about this type of diving and that completion
of a PADI Specialty Diver course in this area is highly recommended.”

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