Trip # Assigned: ___________
Leader Name: Rob Funk
Destination: Anza Borrego Desert CA
APPLICATION TO LEAD AN AMC MAJOR EXCURSION
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If possible, please fill this form out electronically so that it can be distributed by email.
Please type in any font other than italics so we can easily identify your responses. Type
on or over lines and directly into the appropriate sections of tables. When responding to
Yes/No questions, please delete the answer you do not want, leaving only the preferred
answer.
Please save and forward your electronic document in the following format:
Leader’s Last Name, Trip destination-Trip Activity (if applicable), Trip Start date.
For example: Zukroff New Zealand Hiking 12.26.03.doc
If you are filling out a hard copy, please attach additional pages if you find there is not enough
space to answer thoroughly.
I. TRIP PROPOSED
Trip Title: California Desert Hiking
Type of Trip: Backpacking Day-hiking Cultural Skiing Other: Day hiking
Date: Start March 27, 2004 End April 4, 2004 Length of Trip 8 days
Participants: (not counting leaders) Minimum # 12 Maximum # 17
Brief outline of trip and trip activities. You may write or type below or attach as a separate
sheet. A complete itinerary with all available contact information must be provided before
departure.
Day hikes in the Anza Borrego Desert. Staying at local motel. We will stay in duplexes.
Breakfast and lunch prepared in duplexes; dinner out. Easy to moderate hiking.
Permits: Does the trip require special permits (required on all U.S. federal lands)? No
If yes, please explain what permits will be needed and how/when they will be acquired.
Equipment: Does the trip require special technical equipment? No
If yes, what equipment is needed and will any of it be provided by the trip?
Educational Aspect: What are the specific education, conservation, or recreation components of
this trip?
Learning about unique desert environment. Cultural history of area. Programs at visitor
center.
Outfitters: Will this trip require an outfitter? No
Why or why not? Leaders have extensive knowledge of the area.
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Appendix – Application to Lead an AMC Major Excursion
Who are they? _________________________________________________________________
What is their safety record? _______________________________________________________
Do they have liability insurance? __________________________________________________
Can they provide a certificate of insurance listing AMC as an additional party insured? Yes No
How do they handle emergencies? _________________________________________________
II. LEADER INFORMATION
A) Contact Information
Leader: Rob Funk
Co-Leader :LedgeClayton
Address: 154 Hanks Hill Road
Address: 12 Rollwood Drive
Storrs, CT 06268-2316
Guilford, CT 06437
Home Phone: 860-429-4956
Home Phone: 203-458-2596
Work Phone:
Work Phone:
Email:robhfunk@aol.com
Email: ledgehiker@aol.com
Co-Leader :Pam Lewis
Address: 154 Hanks Hill Road
Storrs, CT 06268-2316
Home Phone: 860-429-7870
Work Phone:
Email pxlewis@aol.com
A) First Aid Training – To lead a Major Excursion, you must have current CPR and Wilderness
First Aid (WFA) or its equivalent at the time of your trip.
Course
_ CPR
_ WFA
_ AWFA
_ Other
Other cert.:
Leader
Exp. Date
3/05
3/04
Copy Attached
No
No
_ Yes _ No
_ Yes _ No
Course
_ CPR
_ WFA
_ AWFA
_ Other
Other cert.:
Co-Leader (Lewis)
Exp. Date Copy Attached
3/05
No
3/04
No
_ Yes _ No
_ Yes _ No
Co-Leader (Clayton)
Course
Exp. Date Copy Attached
_ CPR
10/04
No
_ WFA
11/04
No
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Appendix – Application to Lead an AMC Major Excursion
_ AWFA
_ Other
_ Yes _ No
_ Yes _ No
If copies of CPR and WFA or equivalent are not attached, please detail your specific plan to
obtain this certification.
WFA and CPR certificates are on file for Funk, Clayton and Lewis.
A) Leader Experience and Training
New Leaders: If you are a new leader or co-leader, you must have submitted the form
“Application to Become a Major Excursions Leader.” Please attach a copy of that from.
Experienced Major Excursions Leaders: Please list below the last three trips you have led for the
AMC including destination, type of trip (backpacking, skiing, etc.), dates, and number of
participants. Feel free to list additional trips you have led, particularly if they demonstrate
experience related to the trip you are proposing.
1. 2003 Anza Borrego Desert Hiking March 17 participants
2. 2002 Anza Borrego Desert Hiking March 17 participants
3. 2001 Anza Borrego Desert Hiking March 14 participants
A) Scouting: Have you or your co-leader led this trip before or traveled in the area? Yes No
If yes, please describe:
Have led trips here multiple times
B) Special Experience: What special skills or experience are required to lead this trip and how
do you or your co-leader bring these skills and experience?
Knowledge of the area is most important. Leaders have this knowledge through past trips.
C) Couples: If leader and co-leader are a couple or have some other close personal relationship,
what are your back up plans if one if you cannot go and the other must stay behind as well?
Or if you are in the field and both of you must return?
Ledge Clayton would assume leadership if Funk and Lewis were unable to attend. Coleader
would be picked from participants.
D) Medical History: Both leader and co-leader need to have a recent copy of the AMC
Confidential Medical Form on file at 5 Joy St. This form can be obtained online at
http://snebulos.mit.edu/orgs/amc/ or call Heidi Reilly at 617-523-0655 x356 to receive a hard
copy by mail.
Medical forms are on file.
III. RISK ASSESSMENT
Please assess the risks/hazards of your trip. Carefully consider each area of risk and how it may
affect your trip with specific potential hazards. Then, devise a plan to attempt to prevent each
hazard and to respond to it if it becomes necessary.
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Appendix – Application to Lead an AMC Major Excursion
Areas of Risk
Climate/Terrain:
Trail conditions,
weather, etc.
Potential Hazards
No unusual hazards for day
hiking.
Foreign Countries:
political concerns,
crime, language
translation
Transportation:
vehicles, drivers,
insurance
N/A
Participants:
skill level, health,
group dynamics
Person who is not capable of We screen applicants carefully.
activity or who does not mix
with the group.
Accidents
Prevention/Response
Normal good sense and making sure
participants follow regular hiking
rules.
Leaders drive three of four vehicles.
We carry full AMC vehicle insurance.
Other:
B) Emergency Action Plan
Before you leave for you trip, you will need to provide a list of participants and their emergency
contacts in case something happens to someone in the field as well as an itinerary with phone
numbers (where available) in case something happens at home. In the space below, please
describe your plans for dealing with emergencies. Please use as much detail as possible and
attach additional sheets if necessary.
Emergency Communication (phone contacts, language, documentation)
We carry a cell phone. No language or documentation problems.
Evacuation (out of backcountry location, out of foreign country)
N/A These are just normal day hikes. 911 is available. We are seldom more than one hour’s
walk from help.
Medical Care (local medical facilities – location and quality)
Borrego Springs Medical clinic — one mile
San Diego hospitals — 70 miles
IV. COST INFORMATION
Your application to lead a trip will not be accepted if a detailed cost analysis is not attached.
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Appendix – Application to Lead an AMC Major Excursion
Estimated cost per participant with minimum # This trip always fills.
Cost per participant to be listed in AMC Outdoors $1,395
What deposits are required in advance? $300 plus two payments of $547.50
What is the latest date for you to cancel and get a full refund? Depends on availability of
replacement.
What are your plans if you do not get the required number of people?
Airline tickets are not purchased until trip is a go. No money is committed for land costs up
front.
V. PRIVATE TRIPS
Are you currently (up to and including the time frame of this proposed trip) leading trips that are
“private,” i.e. not sponsored by the AMC? No
VI. AMC OUTDOORS INFORMATION
Detailed instructions on trip listings available at <http://snebulos.mit.edu/orgs/amc/>.
Request month for trip to first appear in AMC Outdoors September
Please provide an electronic copy of both the long (150 words maximum) and short form (50
word maximum) announcements. Note that the word count stops at the phrase “For info.”
*** Caribbean trips use only short form
VII. TRIP PROPOSAL AND APPROVAL PROCESS
Trips cannot come before the Major Excursions Committee for approval unless the forms are
completely filled out and received three weeks prior to MEC meetings for review. Please make
sure you have filled out all appropriate sections of this form completely and included any
necessary attachments.
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First aid certifications
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Detailed cost information
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Leader Qualification information
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AMC Outdoors listings
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AMC Medical form for both leaders
By turning in this proposal, you are agreeing to the following:
I have read the Major Excursions Leader Handbook and I agree to follow all policies and
procedures of the Major Excursions Committee and the Appalachian Mountain Club in
preparing for and conducting my major excursion.
Thank you for completing this form!
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Appendix – Application to Lead an AMC Major Excursion
 Copies of first aid certifications and medical forms should be submitted in hard copy only.
These can be faxed (marked attn: Heidi Reilly) to 617-367-8878 or mailed to the Major
Excursions, 5 Joy St. address below.
 Email submissions of this trip proposal form are preferred.
Email should be sent to both of the following two addresses:
T. Walley Williams, Major Excursions Committee Chair at <vze2g9bb@verizon.net>
Heidi Reilly, AMC Travel Programs Coordinator at <hreilly@amcinfo.org>
Or, if you unable to send electronically, please mail a hard copy to the following two addresses:
T. Walley Williams, III
Chair, AMC Major Excursions Committee
71 Orchard St.
Belmont, MA 02478-3509
Major Excursions
Appalachian Mountain Club
5 Joy St.
Boston, MA 02108
Questions? Call T. Walley Williams at the above email or 617-484-1877.
He can put you in touch with an experienced MEC mentor who can help you with trip planning.
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Appendix – Application to Lead an AMC Major Excursion