Matanuska Outdoor Institute Course Application
As the initial step in applying to MOI please fill out this online application. Be as thorough and thoughtful as possible. Our application works for both you and MOI. For us, we get to know you a little better in preparation for the next steps in the process. For you, it is an opportunity to reflect on why you want to come experience what we have to offer. Applicants must complete the form in its entirety before submitting. Incomplete applications will be disregarded. Thank you for taking the time.
This application should only be completed after reading and agreeing to the eligibility criteria document.
https://matanuskaoutdoors.org/eligibility-requirements/
I have read and understand the eligibility requirements.
Yes
Basic Information
Course Date Preference
Session #1 June 10th - July 1st
Session #2 July 8th- July 31st
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender
Male
Female
Prefer to Self Identify (Fill in below)
Preferred Self Identity-
blanks
How did you find MOI?
Please Select
Online Search
College Source
Social Media
Other
Back
Next
Relevant Skills & Experience
This section will help us develop a better sense of your level of comfort and ability to participate in the MOI summer course.
If you have had any paying jobs, please describe the last two.
Please list any formal outdoor or outdoor sports instruction, if any, you have participated in, e.g. backpacking class, wilderness medicine, skiing course etc.
Have you ever climbed any mountain? Could be a hill in your local park or a peak in the Appalachian Mountains. If so when and where? What was good or not so great about it?
Back
Next
Essay Questions
Please try to keep each answer between 200 and 350 words
Describe your ideal outdoor recreation day or favorite outdoor trip of any kind. We are looking for specific details here, like how long of a day, miles or elevation gain and where you chose to recreate. Show us your story telling skills!
Describe to us the skills or abilities you bring to a group when collaborating on a project.
What are your current academic pursuits at the moment? Where do you find yourself in the academic journey?
What is it that is motivating you to apply to our school? What do you hope to walk away with from your MOI experience?
Tell us about any communities you have lived in and had to be an active member of. Share with us your struggles and accomplishments as an individual/group. What is your favorite part of being in a community?
Back
Next
Health and Medical History
Age
Height
Weight
Exercise and Fitness
Never
1-2 times month
1-3 days a week
4-6 days a week
Daily
Scheduled work out
Recreational Activity
Full Day Activities
Known Allergies, If so please list the ways these are managed
Medications, If so please list the type and frequency
Current medical conditions that effect daily health or any underlying chronic health issues, e.g. epilepsy, diabetes, arthritis, asthma etc. Please elaborate
Physical limitations, these can be new or old and chronic. Please list any that may effect your ability to travel in difficult Alaska backcountry conditions, e.g. broken ankle, acl tears, dislocated shoulder, visual impairments, hearing loss etc. Please elaborate
In the last 5 years have you had a mental health diagnosis? If so please explain how this could effect your participation in the 21 days of the course.
Tobacco Use
Daily
Occasional, non dependent
None
Alcohol Use
Daily
Occasional, non dependent
None
Marijuana/ Recreational Drug Use
Daily
Occasional, non dependent
None
I am fully vaccinated for Covid-19?
Yes
No
Back
Next
File Uploads & References
Cover Letter
Browse Files
Drag and drop files here
Choose a file
This is a place for you to really sell how much you want to be a part of this learning journey.
Cancel
of
Covid Vaccination Doc Upload. If unvaccinated for medical reasons please upload here as well.
Browse Files
Drag and drop files here
Choose a file
This document must provide what vaccinations and the dates.
Cancel
of
Favorite photo of you outside
Browse Files
Drag and drop files here
Choose a file
This is mainly to get us a better idea of who you are.
Cancel
of
Reference #1
Please include name, relationship and contact email
Reference #2
Please include name, relationship and contact email
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform