Texas A&M-Commerce Outdoor Adventure Center Outdoor Adventure Application The information on this application is requested to match your skills, aptitudes, and interested to the groups being serviced through this community agency. If you have any questions regarding the privacy of this information, you may discuss it with the Outdoor Adventure Professional Staff. Name: ____________________________ Home Phone: __________________________ Address: ___________________________ Work Phone: _________________________ City: ___________________________________ State: ____________ Zip: __________ Email: _____________________________ Please attach your challenge course portfolio, trip experience, and any copies certifications, trainings attended. 1. What training or experience do you have working in the outdoors or leading groups through experiential activities? Challenge Course Facilitation Teambuilding Rock Climbing & Bouldering Belaying & Route Setting Rappelling Marketing & Customer Service Teaching & Coaching Canoeing & Kayaking Backpacking Cycling Bike Repairs & Gear Rental OA Trip Planning Wilderness First Aid or WFR Elaborate here: ____________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ 2. What interest you about leading group activities and utilizing outdoor experiences as a tool for learning? _________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ 3. Where are you employed or currently going to school? ___________________________________ 4. What is your current major? ____________________________________________________ 5. Years of Education: (please circle highest level complete) 7 8 9 10 11 12 AS BA MA Ph.D. 6. Area of Interest/Hobby: _____________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 7. Clubs or organizations you are presently a member of: ____________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 7. When are you available to work? Mondays & Wednesdays Tuesdays & Thursdays Mondays-Fridays Saturdays or Sundays Other: __________________________ 8. How long do you plan to be in the Commerce area? 1 year 2 years 3 years Other: ___________________________________ Please have your references complete and mail us your reference sheet: (Please indicate at least one work reference.) 1) Name: __________________________ Address: ________________________ City: ___________________________ State: _____ Zip: _________ Phone: _____________________ Relationship: ______________________ 2.) Name: _______________________________ Address: _____________________________ City: _________________________________ State: _____ Zip: ____________ Phone: ______________________________ Relationship: _________________________ I certify to the best of my knowledge that the information provided on this application is true and accurate. I also understand that misinformation knowingly provided here, and on subsequent facilitator information forms, is grounds for dismissal. Date: _______________________ Applicant’s Signature: ____________________________________ Return to: Texas A&M-Commerce Campus Recreation: Outdoor Adventure Center PO Box 3011 Commerce, Texas 75429-3011 Justin.Crossland@tamuc.edu