Volunteer Registration Application

Steps to become a Summit Adaptive Sports volunteer:

Step 1: Complete this Volunteer Registration Application.

Step 2: Once application is submitted, the Thank You page will direct you to the Summit Waivers. They are required each year.

Step 3: You will be sent the following during the training period:

1. Safe Sport Training

2. Background Check

3. Link to other required training materials that can be done online such as our volunteer manual, sport specific manuals, modules for Disability Etiquette, Autism, TBI's and Working with Vets, etc...

Full Name:

First NameLast Name

E-mail:

example@example.com

Phone Number:

Format: (000) 000-0000.

Address:

Street Address

Street Address Line 2

CityState

Zip Code

Date of Birth:

MonthDayYear

Are you a new volunteer or returning?

How did you learn about our organization?

Volunteer History (please list any relevant experience, especially any experience volunteering with adaptive programs):

Organization Name, Dates Volunteered

Personal Reference #1:

Name, Phone, Email, How Known

Personal Reference #2:

Name, Phone, Email, How Known

Place of Employment, School (if currently enrolled in school), Other Volunteer Jobs

Business, School or Organization Name

Emergency Contact:

First NameLast Name

Emergency Contact Phone Number:

Please enter a valid phone number.Format: (000) 000-0000.

Relationship:

(For Example: Spouse, Parent, Friend, etc..)

What sports are you interesting in volunteering with?

Tell us about your level/experience with Alpine Skiing. Please list any professional certifications.

Do you have experience coaching Alpine Skiing? If so, please describe.

Are you interested in:

Tell us about your level/experience with Cross Country Skiing. Please list any professional certifications.

Do you have experience coaching Cross Country Skiing? If so, please describe.

Tell us about your level/experience with Telemark. Please list any professional certifications.

Do you have experience coaching Telemark? If so, please describe.

Tell us about your level/experience with Hiking. Please list any professional certifications.

Do you have experience coaching Hiking? If so, please describe.

Tell us about your level/experience with Mountain Biking/Trail Riding/Cycling on Paved Areas. Please list any professional certifications.

Do you have experience coaching Mountain Biking/Trail Riding/Paved areas? If so, please describe.

Tell us about your level/experience with Snowboarding. Please list any professional certifications.

Do you have experience coaching Snowboarding? If so, please describe.

Tell us about your level/experience with Disc Golf. Please list any professional certifications.

Do you have experience coaching Disc Golf? If so, please describe.

Do you have experience coaching Kayaking? If so, please describe. Please list any certifcations.

Do you have experience coaching Skateboarding, Adventure Courses/Climbing, or Snowshoeing? If so, please describe. Please list any certifications.

What days and times are you generally available to volunteer?

Do you have any Allergies?

Do you carry an EpiPen?

Where do you store your EpiPen in case of emergency while volunteering?

Please Confirm that you Understand that there are Safety Modules and Training That is Required of All Volunteers Before Working With Program Participants.

Do you have any other health issues that could impact your ability to coach or meet your commitment? This information will be kept confidential and shared only with staff and supervisors as appropriate.

(Please describe, all information will be kept confidential)

Would you like to speak with our program director about any other questions? If so, please let us know best times to reach you.

Please indicate your T-Shirt size (Adult Sizes).

Please Indicate Your Jacket Size (Adult Sizes)

Other areas of interest in volunteering:

Rows	Would love to!	Would like to.	Wouldn't mind helping.	Not this area.
Fundraising
Office Support
Communication/Marketing Materials
Special Event Set Up
Web Design
Tech Support
Other

Summit Adaptive Sports embraces diversity in our volunteers. We do not discriminated based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, disability, age (40 or older) or genetic information (including family medical history).

Below are a few final questions that we include to help us understand who our volunteers are, where they are coming to us from and skills they may have that are helpful to the group.

Thank you for your interest in joining our team!

Occupation:

For Example: Management, Teacher, Student, Self Employed, Retired, etc..)

Preferred Pronouns:

(She/Her/Hers, He/Him/His, They/Them/Their, etc..)

Have you served in the U.S. Military?

Please tell us your age range:

Please tell us your race/ethnicity.

Gender:

If you are currently a high school student, what is your date of graduation?

Year

Many employers support their employees volunteer work. Does your employer offer:

By checking the mark below and signing this form you confirm that the information on this application is true to the best of your knowledge. In addition for new volunteers, you give us permission to contact your place of employment or personal references for confirmation.

Next Steps:

Once your application is received and reviewed we will send you the following:

1. Electronic links for Summit Adaptive Sports waivers with Move United (liability and media permission)

2. Waivers for any locations we coach/volunteer at that are required (e.g. Ski Sundown)

3. Background check application

4. Sports Protection Module, such as SafeSport, once back ground check is cleared.

We greatly appreciate your completing each of these as soon as possible. Thank you.

Signature

Date completed form

MonthDayYear