Trip # Assigned: ___________ Leader Name: Joanna Hopkins Destination: Germany APPLICATION TO LEAD AN AMC MAJOR EXCURSION 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 prefered 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 A) Trip Title: Garmisch, Munich and Berlin: Hiking and Sightseeing B) Type of Trip: Backpacking Day-hiking Cultural Skiing Other: ______________________ C) Date: Start Sept. 1 04 End Sept. 15 04 Length of Trip 2 wks D) Participants: (not counting leaders) Minimum # _14 Maximum # 22 E) 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. Hiking and walking in Garmisch and Zugspitze area for 6 days. Optional side trips to Mittenwald, Innsbruck, Dachau, are available. Then to Munich for 3 days and Berlin for 5 days for history, architecture, art museums, parks, restaurants, and optional concerts. 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. F) 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? G) Educational Aspect: What are the specific education, conservation, or recreation components of this trip? Alpine conservation methods and hydroelectric power in German Alps. History, Culture, museums, concerts in Munich and Berlin Revised 07/15/16 Pg. 1 of 6 Appendix – Application to Lead an AMC Major Excursion H) Outfitters: Will this trip require an outfitter? No Why or why not? _______________________________________________________________ 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: Joanna Hopkins Co-Leader: H. Michael Tannert Address: 7 Linway Rd. Address: same Lincoln, MA 01773 Home Phone: 781 259 0194 Home Phone: Same Work Phone: --- Work Phone:--- Email: joannahop@earthlink.net Email: same B) 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 Copy Attached Yes No Yes No Yes No Yes No Course CPR WFA AWFA Other Other cert.: Co-Leader Exp. Date Copy Attached Yes No Yes No Yes No Yes No If copies of CPR and WFA or equivalent are not attached, please detail your specific plan to obtain this certification. You have current copies for both of us on file. We'll retake the courses before departure '94 trip. C) Leader Experience and Training Revised 07/15/16 Pg. 2 of 6 Appendix – Application to Lead an AMC Major Excursion 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. St. Moritz Ski Holiday both Mar. 03 2.St. Moritz Ski Holoiday both Feb. 02 3.Austria Hiking and sightseeing both Jul 2000 (3rd time leading this trip) 4. Zermatt Hiking both (5th time leading this trip) Aug 2000 D) Scouting: Have you or your co-leader led this trip before or traveled in the area? Yes No If yes, please describe: Garmisch 1953-54 Dresden, Leipzig, Berlin summer '01 Munich Mar. 03 E) 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? Some German language skills, currency exchange rate management, hiking/walking in Swiss, Austrian and German alps many times, co-leader is expert mountaineer (has climbed 20 4000 meter peaks in Alps, familiar with German culture and history F) 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? Will choose experienced AMC hikers on the trip, or plan with others as backup. G) 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. You have these on file for both of us. Revised 07/15/16 Pg. 3 of 6 Appendix – Application to Lead an AMC Major Excursion III. RISK ASSESSMENT A) 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. Areas of Risk Climate/Terrain: trail conditions, weather, etc. Potential Hazards Falls on trails. Foreign Countries: political concerns, crime, language translation Terrorist attacks Transportation: vehicles, drivers, insurance Swiss Air flights Commercial intercity bus Transport. Local subways and public buses Walking and/or moderate hiking. Accidents or illness. Encourage teamwork. Participants: skill level, health, group dynamics Weather exposure Pickpockets Language Prevention/Response Leaders carry rescue ropes. Plan trails in advance. All carryrain gear, extra hats,socks, first aid, gloves in packs. Plan shelters and exit routes. Consult State Dept. warnings. Avoid crowds. Warn participants in advance. Carry dictionary, know some German and French. Hire reliable companies. Use public transportation. Plan routes in advance. Leave plenty of time. Screen participants beforehand. Publish and apply safety guidelines. Carry IAMAT medical contacts. Use group management skills, 8 yrs leading MEC trips, plus previous mgmt jobs. 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) Circulate list of German emergency words, illness words, in advance. Carry phone contacts. Have SOAP notes. Evacuation (out of backcountry location, out of foreign country) Buy air rescue insurance if available in Garmisch for hiking, thru Geerman hiking club. Otherwise, use Swiss air for repatriation. Revised 07/15/16 Pg. 4 of 6 Appendix – Application to Lead an AMC Major Excursion Medical Care (local medical facilities – location and quality) IAMAT doctors registry for Germany IV. COST INFORMATION Your application to lead a trip will not be accepted if a detailed cost analysis is not attached. A) Estimated cost per participant with minimum # $2875.30 with maximum # $2788.75 Cost per participant to be listed in AMC Outdoors $2875.00 B) What deposits are required in advance? Hotel deposits, airfare payments. C) What is the latest date for you to cancel and get a full refund? Two months before trip departure D) What are your plans if you do not get required number of people? If close to minimum, we'll pay part of leader expense. If not close, we'll cancel the trip. 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/>. A) Request month for trip to first appear in AMC Outdoors _Nov. 03________________ B) 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.” To be delivered in August. *** 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. Revised 07/15/16 Pg. 5 of 6 Appendix – Application to Lead an AMC Major Excursion First aid certifications Leader Qualification information AMC Medical form for both leaders Detailed cost information AMC Outdoors listings 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! 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. Revised 07/15/16 Pg. 6 of 6 Appendix – Application to Lead an AMC Major Excursion