CWS Staff Application

Personal Information
As a Wilderness Medicine Instructor candidate, it is important to understand that:

Center for Wilderness Safety takes the safety of its students very seriously. By completing a background check which includes a sexual offense safety check, CWS is able to take extra precautions against potential incidents. Given the nature of the courses taught, all staff must pass both criminal and sexual offender checks in order to be considered for employment with CWS.

By completing and submitting this application, the applicant agrees to a criminal background check as well as a sex offender check. Any offenses against children are considered immediate disqualification to work for CWS.
I Have Taken a CWS Course in the Past*

YES! (required to become an instructor)No... (please take a course with us first)
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number:*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Age:*
Sex*
Date of Birth:*

MonthDayYear
Race*
For criminal background check purposes only.
Social Security #:*
For criminal background check purposes only.
Have you ever been convicted of any misdemeanor or felony?*

YesNo
If yes, please explain:
Current Certifications:*

CPR/AED - AdultCPR/AED - Child, InfantCPR/AED - Healthcare Provider (BLS)Standard First AidLifeguard (Red Cross or Ellis)Wilderness First Aid (WFA)Emergency Medical Responder (EMR)Wilderness First Responder (WFR)EMT-BWEMTEMT-I or EMT-AEMT-PPARN/LPN/BSNMDOther (specify in comments section)American Red Cross InstructorAmerican Heart Association InstructorOther (specify)
Languages That I'm Fluent In:*

EnglishSpanishGermanFrenchChineseJapaneseHindiOther (specify)
Position & Availability
Position(s) Interested*

Instructor — Wilderness MedicineInstructor — First Aid/CPR/AEDOnline Training CoordinatorAdministrative AssistantInternship (Unpaid)Volunteer & Alumni Coordinator
Where are you able to work?*
Choose as many states as needed.
Can you work weekdays?*

YesNo
Can you work weekday evenings?*

YesNo
Can you work weekends?*

YesNo
Can you work holidays?*

YesNo
When can you start?*

MonthDayYear
Experience Questions
Describe your experience with emergency medical care (if any).*
Describe your teaching or public speaking background.*
Give an example of when you exhibited leadership skills in an outdoor environment.*
Briefly explain your outdoor/wilderness skills & abilities.*
Do you have any relevant wilderness rescue experience?*
Why do you wish to become a Center for Wilderness Safety staff member?*
List all professional organizations that you are affiliated with.*
References
Please provide two professional and one personal reference. Please do NOT use immediate family or relatives. All references will be checked.
Professional Reference (1)*
Name, Company, Relationship, Phone, Email
Professional Reference (2)*
Name, Company, Relationship, Phone, Email
Personal Reference:*
Name, Relationship, Phone, Email
Resume, Cover Letter & Photo
Cover Letter*
Upload Resume*

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Upload Your Photo*

Please upload a photo of yourself for your application file.
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Comments or Questions:
Terms & Conditions
Terms & Conditions

By clicking "Submit", I attest that all of the information enclosed with my employment application is correct to the best of my knowledge and grant the Center for Wilderness Safety permission to contact my references and perform a background check.

The Center for Wilderness Safety Inc, a non-profit organization, does not discriminate on the basis of race, color, national origin, sex, age, religion, sexuality, or disability in admission/access to, or treatment/employment in its programs and activities.
Are You Human?*
Should be Empty:

Personal Information

Position & Availability

Experience Questions

References

Resume, Cover Letter & Photo

Terms & Conditions