ACC WINTER Leadership Course Application Form

The Alpine Club of Canada

Winter Leadership Course Application Form
To complete your application for the ACC Winter Leadership Program, sponsored in part by The North Face, please complete the following:
1. Complete this form
2. Have your letter of reference sent directly to adventures@alpineclubofcanada.ca
3. Have your section endorsement sent directly to adventures@alpineclubofcanada.ca
Your JotForm application can be submitted without a resume or reference letter, but a completed application consisting of all three components must be submitted no later than October 30th, 2024.  Completion and return of The Alpine Club of Canada's Waiver of Liability form is a condition of registration in our leadership courses. Participants will not be allowed to attend the course if the completed waiver form is not received prior to the commencement of camp.

* denotes mandatory fields

This is the only form which can be used when applying for the Alpine Club of Canada Winter Leadership Course. If your application is not fully completed it will be returned for completion to ensure our volunteer committee can properly assess all applications. Once you begin filling out this form your data will be saved at this url for ONE WEEK. Bookmark this page and return to it anytime within ONE WEEK to complete the form.

Please note the Selection Committee strongly prefers receiving applications in electronic format.
Personal Details
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birth Date*

MonthDayYear
Applicant Email*
Section Chair Email*
example@example.com
Phone Number*

Area CodePhone Number
Cell number (if different from above)

Area CodePhone Number
ACC Membership Number (if known)
Section Affiliation
How many years have you been a member of your current section?
In past years, The North Face has graciously donated clothes to participants that attend these leadership courses. These donations are not guaranteed but appreciated as it goes above and beyond the commitment The North Face has with the Alpine Club of Canada. Answering the two questions below regarding sizes is a way in which to expedite the process of helping The North Face decide if they are able to contribute through a donation. In no way is this a guarantee that TNF will donate to participants. Only chosen applicants are eligible for these donations. Please note that there are no exchanges or returns on these items if they don't fit.
Jacket Size

X-Small - Women onlySmallMediumLargeX-Large
Pants Size

X-Small - Women OnlySmallMediumLargeX-Large
Emergency Contact Information

Please select someone who is not accompanying you on this trip. Note that we will also contact this person if we are unable to get in touch with you about last minute information related to your trip.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Relationship
Phone Number*

Area CodePhone Number
Section Endorsement + References

Please have your Section Executive email us their endorsement of your application. In addition, have two of your skiing or climbing partners, one being an ACMG mountain guide, a current ACC camp manager or amateur leader email us a letter of reference for you. They should email the letter to the ACC directly (adventures@alpineclubofcanada.ca) and NOT via you. List the references (2 total) that will be forthcoming (include name, relationship, email address):
Who will provide your Section Endorsement (name and position)?
Reference 1:
Reference 2:
General Club Background
Are you currently a trip leader for your Section? If so, what types of trips do you lead?
Have you served on any section committees? If so, in what capacity?
How many trip/technical Section activities have you attended in the last four years and what types of activities? (ex. ski trips, climbing outings)
How many social/non-technical Section activities have you attended in the last four years and what types of activities? (ex. slide shows, pub nights)
Have you served as a volunteer for your section in any capacity during the past three to four years? If so, what were you involved in?
Describe how you plan to contribute to your Section in the next two to three years.
Feel free to discuss anything else that you feel the selection committee should know about that would make you a good candidate for leadership training at this level.
Health and Fitness

All health information is considered personal and private and is held by the ACC in the strictest confidence.
Current state of health*
Date of last Medical*

MonthDayYear
Status at time of last Medical*
Have you had any serious illnesses or conditions in the past five years? If so, please explain:*
Medications taken on a regular basis, and what the medications are for:*
Do you have any allergies that we should know about?*
Do you have any food sensitivities or preferences (i.e. vegetarian)?*
Please outline your current and planned regular physical activity schedule.*
Skills & Training

Please rate your competence in the following skills. Not being competent with a skill does not necessarily mean you will not be accepted. Only a basic level of competence is required. High technical skill levels are NOT mandatory and a history of leading on waterfall ice or alpine terrain / mountaineering is not required. In rating yourself please use the following scale: 0 – never done it before 1 – have done a few times, but not yet competent 2 – have done it a number of times, basic level of competence 3 – competent 4 – very competent, could teach it to others 5 – professional skill level (i.e. ACMG apprentice or guide; experienced CSIA level 2 or higher ski instructor)
Backcountry Ski touring/Split Boarding
Backcountry ski touring
Setting a track
Skiing downhill with an overnight pack
Skiing the steeps
Avalanche assessment
Avalanche transceiver use
Route finding in avalanche terrain
Winter camping
Whiteout navigation
What is the make, model and year of your backcountry touring gear?
What is the make, model and year of your avalanche transceiver?
List any backcountry ski/split board instruction you have taken recently. Include agency / instructor, course taken and date.
Discuss anything else that you feel the selection committee should know about your touring experience.
General Mountain Travel Experience
What is your level of understanding of topographic maps and use of a compass?
Avalanche training certificates (please also list course locations and dates):
List any currently valid urban or wilderness first aid certification you hold. Include agency / instructor, course taken, number of hours / days and date completed.
Other relevant training e.g. ski touring, crevasse rescue, winter climbing, snowshoeing, winter camping, leadership, coaching etc.(please also list course locations and dates):
Leadership
List any leadership, coaching, or instructional training that you have taken. Include agency/instructor, course taken, number of hours/days and date completed.
Discuss anything else that you feel the selection committee should know about your leadership experience.
Additional Skills and Experience
Please share why you wish to participate in the Winter Leadership Course and what takeaways you hope to gain from participation?
Please list any other additional skills, experiences, and/or certifications that you feel are relevant to include in your application. Include agency/instructor, course taken, number of hours/days and date completed.
Please provide any further comments, special requests, or interests that you have by emailing adventures@alpineclubofcanada.ca. Thank you for taking the time to fill out this application!
For Completion by Section Chair
If you are the Section Chair or member of the Leadership Committee continuing this form, check box.

Continue form

Section Chairperson Cont'd.
Endorsement from Section Chairperson or Leadership Committee Chairperson is required. Please list your contact name and position.
Applicant's Section Participation
Has the applicant provided accurate information on trips they have led for the Section? Provide any additional comments you wish to include.
Has the applicant provided accurate information on their involvement in technical and non-technical section activities? Provide any additional comments you wish to include.
Applicant's Skill Self-Assessment
Provide any comments you wish to include on the applicant's self-assessment of their rock climbing, snow and ice/alpine climbing, and leadership abilities. Do you feel that the applicant has the required prerequisite training in these areas?
Chair's Assessment of Applicant
Why does your Section think this person is a good candidate?
What attributes does the applicant possess that your Section feels will make them a good leader?
Discuss how the applicant displays maturity, the ability to work in a group setting, and willingness to learn that would make them a successful member in the Summer Leadership Course setting?
Do you have any areas of concern that could limit the ability for the applicant to successfully participate in this training?
Is there anything else that you feel the selection committee should know about the applicants climbing, alpine, and leadership experience that would make them a good candidate for leadership training at this level.
Please provide any further comments, special requests, or questions that you have by emailing adventures@alpineclubofcanada.ca. Thank you for taking the time to fill out this application!
Should be Empty:

The Alpine Club of Canada

Personal Details

Emergency Contact Information

Section Endorsement + References

General Club Background

Health and Fitness

Skills & Training

Backcountry Ski touring/Split Boarding

General Mountain Travel Experience

Leadership

Additional Skills and Experience

For Completion by Section Chair

Section Chairperson Cont'd.

Applicant's Section Participation

Applicant's Skill Self-Assessment

Chair's Assessment of Applicant