Major Excursions Trip Proposal Form 1 /

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Major Excursions Trip Proposal Form
The following pages contain the application to lead an AMC Major Excursion. Please complete the form with as
much detail as possible, and attach additional sheets if necessary. Also include a detailed budget/costing sheet
that clearly shows all costs associated with your planned excursion. The trip proposal form and budget are due
two weeks prior to the MEC meeting in which it will be reviewed. Deadlines will be posted on the MEC leader
website (http://snebulos.mit.edu/orgs/amc/) and sent to you on the MEC leader listserv well in advance of the
meeting. The MEC will not accept late proposals unless the chair is notified in advance with a compelling reason.
Incomplete applications will be returned to you and not reviewed until complete, so please make sure to fill in all
applicable sections.
The application was created in a Microsoft Word protected document. To fill in each section click on the check
box and/or on the grey text box and start typing. The boxes will automatically get larger as you fill in text. If you
find that you need a lot of space to explain a section, please say “see additional attachment” and attach a separate
page.
In addition, the following are helpful during the review process, but need only be submitted after your proposal is
accepted:


50 and 150 word notices for the AMC Outdoors and www.outdoors.org. Please see the current rules http://snebulos.mit.edu/orgs/amc/listings/ and schedule for submitting notices for the AMC Outdoors.
Trip prospectus – without the application forms attached – in Microsoft Word or PDF format
Finally, we need to have on file at Joy Street, the following documents:
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
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A completed confidential medical form for the leader and co-leader (after approval is given)
Copies of first aid and CPR certifications for leader and co-leader (before or after approval is given)
A completed application to be a co-leader if the co-leader is new (before proposal is submitted)
We will accept snail mail applications, but electronic forms are preferred. Please save and forward your
electronic document with the following naming convention:


Leader’s last name, trip destination, year of trip and what type of document it is (application, budget,
Outdoors listing or prospectus)
For example, Smith-New Zealand-2007-Application.doc or Smith-New Zealand-2007-Budget.xls
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Major Excursions Trip Proposal Form, page 1 of 7
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Applications should be sent electronically to the MEC Chair, Stacia Zukroff, at mecchair@amcboston.org and to
dturner@outdoors.org. They can be mailed to: Travel Programs Coordinator, 5 Joy Street, Boston, MA 02108. If
you have any questions, please contact Stacia at: 781-648-5503 or mecchair@amcboston.org.
Revised 7/15/2016
Major Excursions Trip Proposal Form, page 2 of 7
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SUMMARY OF TRIP INFORMATION
Title of trip
Leadership
Location(s)
Dates
Type of trip
check all that apply
Leader
Co-leader
Hiking
Total # of days
Downhill skiing
Kayaking
Backpacking
Cultural
Road biking
Nordic ski
Mountain biking
Snorkeling
Other – please describe
Max
Number of participants
(excluding leaders)
Advertised cost
Airfare range if not included
Smaller trips and leader
subsidization
Min
$
Does it include airfare? Yes
No
$
Is this proposal for a small group trip – i.e., less than 14 participants and 2
leaders or 7 participants and 1 leader? Yes
No
If yes, why is a small group proposed?
If a participant fee increase of more than 15% is proposed, please explain
why?
LEADER AND CO-LEADER INFORMATION
Leader name
Leader address
Leader email
Leader phone
Wilderness first aid training
CPR training
Prior leading experience
Home
Work
WFA
AWFA
WFR
Expiration:
CPR
BLS
Expiration:
Please list the last three longer (5+ day) trips you have led for the AMC including
destination, type of trip, 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.
Trip one
Trip two
Trip three
Other related trip experience
Co-leader name
Co-leader address
Co-leader email
Co-leader phone
Home
Work

To lead a major excursion you must have current CPR and WFA at the time of your trip (or AWFA for all backcountry
trips). If you do not have the required level of certification at the time you submit your proposal or it will expire before
the date of your trip, you will need to make arrangements to recertify in a timely manner.
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Major Excursions Trip Proposal Form, page 3 of 7
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Wilderness first aid training*
CPR training*
Prior leading experience
Scouting
Have either of you led this trip
before or traveled to this
area?
Languages
Does either the co-leader or
leader speak the local
language?
Couples
Do the leader and co-leader
have a significant personal
relationship?
Private trips
Do either of you lead trips that
are private - not sponsored by
the AMC?
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WFA
AWFA
WFR
Expiration:
CPR
BLS
Expiration:
If you are a new co-leader you must submit an application to be a major excursions
leader or co-leader prior to submitting this application.
Yes
No
If yes, please describe below:
Co-leader: Yes
No
Leader: Yes
No
Not applicable:
Yes
No
If yes, please list who has agreed to be your back-up in case one or
both of you need to drop out. This is required for approval!
Yes
No
If yes, please note that you cannot advertise AMC and private trips
together unless there is a clear distinction between the two in any marketing
materials you send out.
LOGISTICAL DETAILS OF TRIP
Executive summary
Please provide a brief
description of the trip and the
activities planned.
Accommodations
Please describe your plan for
accommodation(s)
Meals
Please describe your plan for
providing meals
Permits or permissions
Does the trip require special
permits or permissions?
(required on many U.S.
federal lands and national
parks)
Special equipment
Does the trip require special
equipment?
Special experience
Does the trip require special
skills on the part of the
participant?
Pre-trip activities
Do you plan to get your group
together before the trip for an
activity or social event?
Conservation, education and
recreation
How will this major excursion
meet the mission of the AMC?
Revised 7/15/2016
Yes
No
If yes, please describe below what you will need to do to obtain them:
If no, please describe the process you went through to find out that they were not
required:
Yes
No
If yes, please describe below what type of equipment and how you
will ensure that people know how to use it:
Yes
No
If yes, please describe below what type of experience? Also describe
how you will ensure that the participant has this experience?
Yes
No
If yes, please describe below what you will do:
Major Excursions Trip Proposal Form, page 4 of 7
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www.outdoors.org/about/
mission.cfm
TOUR OPERATOR AND GUIDE SERVICE INFORMATION
Will this trip require a tour
operator or guide service
during part, or the entire
trip?
Name of tour operator/guide
service
Tour operator website
Safety record
Please provide information
about their safety record.
Insurance
Do they have liability
insurance?
Emergency response
Please describe the outfitters’
response plan in the case of an
emergency.
Yes
No
Please describe their services. If you are using a tour operator for the entire trip,
please describe why you will be using them rather than doing this trip on your own:
Liability? Yes
No
Are they willing to list AMC as an
additional insured?
Maximum amt: $
Yes
No
RISK ASSESSMENT
Please assess the risks and hazards of your trip. Carefully consider each area of risk and how it may affect your trip.
Devise a plan to prevent each hazard and to respond to it if it becomes necessary. Please be very specific for each section
if applicable.
Trail conditions, river crossings, weather, wildlife (bears, snakes, etc.)
Climate/terrain
Potential hazards
Response
Political concerns, crime, language translation, terrorism
Foreign Country
Potential hazards
Response
Road conditions, drivers, insurance
Transportation
Potential hazards
Response
Level of fitness, screening concerns, experience with equipment or activity
Participants
Potential hazards
Response
Conditions unique to this type of trip
Other
Potential hazards
Response
EMERGENCY ACTION PLAN
Please describe your plans for dealing with emergencies. Use as much detail as possible, and list any special
communications equipment you may need to ensure the safety of your participants. DO NOT LEAVE THIS SECTION
BLANK
Emergency communication
Phone contacts, language,
documentation, distance from
emergency services
Emergency equipment
What sort of emergency first
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aid or communication
equipment (satellite phone,
two-way radios) do you plan
to use, if any?
Evacuation
Please describe your plan for
evacuation from the
backcountry location if
applicable?
Medical care
Please describe the medical
care available in the area(s)
where you will be traveling
and list names and telephone
numbers for these facilities.
COST AND BUDGET DETAILS
Foreign currencies
For int’l trips list each foreign
currency, the current $US
dollar exchange rate and what
contingencies you have if that
rate changes. If a tour
operator or agent is being
used, what currency is the
agent to be paid in?
Deposits
What deposits will be required
by airlines, hotels, tour
operators, etc., and when?
Refunds
What is the latest date you can
cancel and still receive a full
refund?
Participant deposit
What are the initial deposit
and your schedule of
payments?
Cancellation policy
What will your cancellation
policy be for the participants?
Minimum numbers
Will you still run the trip if you
do not get the minimum
number?
Yes
No
If yes, please describe conditions:
Reference web links:
MEC Home Page:
Forms:
Deadlines:
AMC Home Page:
http://snebulos.mit.edu/orgs/amc/
http://snebulos.mit.edu/orgs/amc/application/
http://snebulos.mit.edu/orgs/amc/listings
http://www.outdoors.org/
E-Mail Addresses:
Club House:
MEC Chair:
amcexcursions@outdoors.org
mecchair@amcboston.org
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MEC Notices:
Revised 7/15/2016
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goeke@space.mit.edu
Major Excursions Trip Proposal Form, page 7 of 7
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