Karl Nagy Memorial Award

KARL NAGY

MEMORIAL AWARD

This is the only form which can be used when applying for the Karl Nagy Award. 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.

Full Name*

First NameLast Name

Date of Birth*

MonthDayYear

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

E-mail*

ACC Primary Section

ACC Membership Number

Must be a member of the ACC to be awarded the grant, however you may add this information at a later date if you do not have it currently.

Describe your involvement with the ACC to date (please include details of any volunteering you have done).*

Why are you applying for this award?*

What are your future outdoors goals?*

How will this opportunity assist in meeting your future outdoor goals?*

How will this opportunity impact future volunteering with the ACC *

Do you have any other related information you would like to provide to the selection committee?

Please provide two letters recommending you for this award. It is strongly preferred that one of the letters is from a section trip leader or section leadership. These letters may be attached below or be sent to adventures@alpineclubofcanada.ca directly from your references.

Letter #1

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Letter #2

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Have you already submitted a GMC Volunteer leader application this year?*

YesNo

Please attach an Outdoor Resume. Please attach to the bottom of this form. Your outdoor resume should include any courses/certifications, section trips, first aid experience, shadowing experience and personal experience (not just a list of all the climbs you've done).

Outdoor Resume

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1. Have you attended a GMC before? If yes, which one(s), in what role, and who was the camp manager(s)?*

2. Have you ever had any experience(s) in shadowing, being mentored, or in a leadership course with ACMG certified guides? If yes, please elaborate.*

3. Have you led any ACC Section trips? Please list two of the most recent trips you led (Name, Location, Date, Party Size, Brief Description).*

4. What is the most difficult mountain trip that you have led? Please describe (Name, Location, Date, Party Size, Brief Description).*

Do you have a preference for working with a specific ACMG guide at the GMC? If so, please include their first and last name below.

BY CLICKING 'SUBMIT' I CONFIRM THAT, TO THE BEST OF MY KNOWLEDGE, ALL INFORMATION IN THIS APPLICATION IS ACCURATE.

MEMORIAL AWARD

APPLICATION FORM

General Information

Technical Skills