AEE Certification Council Application Form
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Organization You Currently Work For
*
How many years of programming experience do you have in the field of Adventure Therapy
*
How many years of administrative experience do you have in the field of Adventure Therapy?
*
Summarize your level of education, and any degrees held.
*
Are you or is your organization a current AEE member?
*
Yes
No
Are you CCAT or CTAS certified by AEE?
*
Yes
No
Please describe why you would like to be on the Council.
*
Please describe any licenses, certifications, or other credentials you hold.
*
What unique skills or knowledge will you bring to the council?
*
Describe your approach/style when working on a committee/board. Give an example in which your opinion differed from others in the group. How did you resolve your differences?
*
Please describe what role you believe certifications should play in Adventure Therapy
*
Is there anything else you would like to share with the council, or do you have any questions?
Describe your familiarity with the AEE certification process.
*
*
If you would like, briefly describe any other relevant experience in the field of adventure programming. If you have a climbing résumé, activity transcript, or similar document, please upload it to this application.
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please provide three references not related to you and their contact information:
*
Please upload a brief cover letter if you have anything you want to add to the application.
Browse Files
Drag and drop files here
Choose a file
Optional
Cancel
of
Please upload résumé or curriculum vitae
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Certification Council Conflict of Interest and Confidentiality Agreement
Please Review and Sign Below to Indicate Agreement
Please sign here to agree to the Conflict of Interest and Confidentiality Agreement and to also attest that all the information you have provided in this application is accurate and truthful.
*
Date
*
-
Month
-
Day
Year
Date
Save
Submit
Should be Empty: