Montana Grit Outdoors Activities Application

Montana Grit Outdoors Activities Application

Montana Grit Outdoors is a 501 (c)(3) non profit organization designed to offer programs that enrich the lives of Veterans, First Responders, and their families through shooting, survival education, and outdoor programs with guided hunts for women.
Are you a Female Veteran, Gold Star Family member, First Responder, or lost someone to PTSD who served in the military or as a First Responder?

This program is currently only available for female applicants who are citizens of the United States of America. You may be asked to submit a DD214 or other documentation of your service.
Name

First NameLast Name
Age
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Are you willing to participate in strenuous outdoor activities including the use of firearms for our hunting activities?

YesNo
Please tell us what type of outdoor activities you would like to participate in, include any previous firearms training and outdoor recreation experience.
Please describe your level of health and fitness to include limitations for strenuous outdoor activities.
Please describe your reasons for wanting to participate in our activities.
Do you have any emotional stressors we should know about to make you comfortable in your activities with us?
What are your related skills that can be used for your participation with us?
Do you own outdoor recreation clothing, gear, firearms, etc. If not we can provide items for your use.
Personal reference.
Name

First NameLast Name
Relationship
Company Name if professional
Phone Number
Please enter a valid phone number.
Email
example@example.com
Have you ever been addicted to or regularly use elicit drugs, or problematic alcohol use?

YesNoIf yes, please detail.
Have you ever been diagnosed as having violent emotional issues, or other mental illness?

YesNoIf yes, please detail.
Have you been convicted of a criminal offense, (please include restraining orders, or incidents of domestic violence)?

YesNoIf yes, please detail.
Have you participated in guided outdoor activities before?

YesNoIf yes, please detail.
Acknowledgment
I hereby certify that all information I provided in this document is accurate and true to the best of my knowledge.

I confirm that I have read and understood the reason why the Personal Information Collection Statement is required.

I understand that data collected from this form will be used for recruitment and evaluation purposes only. All data will be strictly confidential.

I also give my permission to Montana Grit Outdoors to contact me via telephone or email if we have further questions.
Applicant's Signature

Powered by Jotform Sign Clear
Date Signed*

DayMonthYear
Should be Empty:

Montana Grit Outdoors Activities Application

Are you a Female Veteran, Gold Star Family member, First Responder, or lost someone to PTSD who served in the military or as a First Responder?

Personal reference.

Acknowledgment