FORESIGHT ADVENTURE GUIDES FOR THE BLIND
NEW VOLUNTEER APPLICATION
We appreciate your interest in our organization. Applications are received and volunteers are accepted without regard to race, creed, color, sex, religion, age, national origin or physical or mental disability. The receipt of this application does not mean that openings exist, nor does it obligate Foresight Ski Guides in any way.
Personal Information:
Full Name:
*
First Name
Last Name
Date of Birth:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current Mailing Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Telephone:
*
Format: (000) 000-0000.
Email:
*
example@example.com
Previous Address: (If less than 5 years at current address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Occupation
*
Present Employer:
*
Employer's Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
No. of Years Employed:
*
Employer's Tel. #:
*
Format: (000) 000-0000.
Person to be notified in case of emergency:
Name:
*
First Name
Last Name
Tel #
*
Format: (000) 000-0000.
Relationship
*
Address, if different from your address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Have you applied to Foresight Ski Guides before?
*
Yes
No
If yes, when?
Do you have personal health insurance? A copy of your insurance card is required.
*
Yes
No
Are you a veteran of the US military?
*
Yes
No
Branch of Service
May we put your name, email address and phone number on a list available to all Foresight volunteers?
*
Yes
No
Ski Season Only: Will you have a season's pass for the upcoming ski season?
*
Yes
No
If yes, which type?
Summer Only: Do you have experience teaching/instructing any of the following activities? (check all that apply)
Stand Up Paddle Boarding/Kayaking/Canoeing
Rock Climbing
Hiking
Archery
Fly Fishing
Rafting
Aerial Ropes Courses
Do you hold any specialized training or experience in working with people with visual or physical disabilities?
*
Yes
No
If yes, please explain below:
Please indicate if you have had experience working with people with any of the following disabilities: (check all that apply)
*
Blind/Visual Impairment
Cerebral Palsy
Spina Bifida
Developmental Disability
Spinal Cord Injury
Post Polio
Deaf/Hearing Impairment
Amputation
Brain Injury
Autism
Other
If you are PSIA/AASI, ACA, or certified by any other officially recognized body, please list type & level of certification:
*
Do you have any current medical certifications:
*
CPR
Basic First Aid
Other
Do you have experience with American Sign Language?
Yes
No
If yes, please explain below:
Are you able to commit to 10 days of volunteering per ski season?
*
Yes
No
Other
If other, please explain below.
Are you available for ongoing training throughout the season, if requested?
*
Yes
No
Are you willing to work with adolescents 10-21 AND adults 22 and over with varying levels of visual impairment?
*
Yes
No
Other
If other, please explain below.
Some of our program participants have minor intellectual or development disabilities. Are you willing to work with those participants?
*
Yes
No
Other
If other, please explain below.
Are you willing and physically able to balance, stand, kneel, and walk on variable surfaces including snow, ice and high traffic areas while ascending and descending on the mountain?
*
Yes
No
Other
If other, please explain below.
Are you willing and physically able to assist participants with putting on and removing skis or snowboard equipment and returning to a standing position?
*
Yes
No
Other
If other, please explain below.
Are you able to assist a skier or snowboarder who has fallen to get back up?
*
Yes
No
Other
If other, please explain below.
Are you willing and physically able to assist participants with loading and unloading on fixed grip and detachable chairlifts?
*
Yes
No
Other
If other, please explain below.
Have you been convicted of a felony (excluding any record or conviction that has been judicially sealed, expunged, eradicated or dismissed)?
*
Yes
No
If yes, please explain (a conviction will not necessarily disqualify your application):
Have you ever been charged with child neglect or abuse?
*
Yes
No
If yes, please explain:
Has your drivers' license ever been suspended or revoked?
*
Yes
No
If yes, please explain:
Are there any facts or circumstances involving you or your background that would call into question your being entrusted with the supervision, guidance or care of youth or disabled individuals?
*
Yes
No
If yes, please explain:
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Personal References * REQUIRED FOR FIRST YEAR VOLUNTEERS ONLY*
Please list those who are familiar with your character as it relates to working with individuals with disabilities and/or youth. We send letters of reference to each of the names listed.
Please be sure to list complete mailing or email addresses.
Name:
*
First Name
Last Name
Telephone:
*
Format: (000) 000-0000.
Mailing Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address:
*
example@example.com
Name:
*
First Name
Last Name
Telephone:
*
Format: (000) 000-0000.
Mailing Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address:
*
example@example.com
Name:
*
First Name
Last Name
Telephone:
*
Format: (000) 000-0000.
Mailing Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address:
*
example@example.com
Certification and Acknowledgement
I certify that all information submitted in this application form, or any resume, interview or other information, is true and complete and that I have not knowingly withheld, or will I withhold, any information that would affect my volunteer application. I understand that Foresight Ski Guides is under no obligation to consider or reconsider this application at any time, and that acceptance of my application does not constitute an offer of employment or volunteer status. I also understand and agree that:
1. Inquiries may be made of my employer, previous employers or others who may have knowledge of me, or with investigative, or other private or governmental agencies that may have information concerning me and release all parties from any and all liability, claims or damages it
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made directly or indirectly from providing that information. I also agree to hold harmless Foresight Ski Guides, the officers, directors, employees and volunteers thereof.
2. I understand that if my application to participate as a volunteer at Foresight Ski Guides is accepted, my status as a volunteer may be terminated with or without cause or notice at my option or at the option of Foresight Ski Guides.
3. I understand that in signing this application, I affirm that the information I have given is true and correct.
(Date)
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
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