ACC Porter Application - Personal and Emergency Contact Information
Please fill in this form to be added to our list of porters. You will be contacted as porter jobs become available. This form is mandatory for all ACC porters and must be completed ONCE per season, prior to your first trip of the season.
Personal Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Current Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
I would prefer payment by:
*
Cheque
Electronic Funds Transfer (EFT)
What days of the week work best for you? (Select all that apply)
Monday
Tuesday
Wednesday
Thursday
Saturday
Sunday
Emergency Contact
This should not be another ACC porter.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Relationship to you
*
Safety and Emergency Response Plans
Do you have any injuries or relevant medical conditions that we should be aware of?
*
Do you have Glacier Travel Experience?
*
Please Select
Yes
No
If Applicable please describe any crevasse rescue training you have done:
Please select all of the following certifications that apply:
Check this box if the corresponding statement is true:
If this statement is true, when did you last completed this certification?
If the statement is true, what organization did you last complete this certification with?
I have completed and hold a valid Standard First Aid/ CPR certification.
I have completed a Remote First Aid (20 hrs) course.
I have completed a Wilderness First Aid (40 hrs) course.
I have completed a Wilderness First Responder (80 hrs) course.
I have completed an Avalanche Safety Training 1 course.
I have completed an Avalanche Safety Training 2 course.
I have completed an Avalanche Operations Level 1 course.
I have completed an Avalanche Operations Level 2 course.
Please list any other relevant certifications that you hold:
Do you agree to sign the ACC Release of Liability Waiver?
*
Submit
Should be Empty: