Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Gender
*
Male
Female
Other/Prefer Not to State
Date of Birth
*
MM
DD
YYYY
Outdoor Emergency Care Certification Status
Never Certified
Currently Enrolled in a Class
Currently Certified
Previously Certified
If currently enrolled in OEC, please provide the name of the Instructor of Record for the class and anticipated examination date.
If currently or previously OEC certified, please provide the date of your original certification, as well as the dates and locations of your most recent Cycle A, Cycle B, and Cycle C refreshers.
CPR for the Professional Rescuer Status
Not Certified
Currently Certified
If currently certified in CPR, please provide the name of the agency (e.g. American Heart Association), certification level (e.g. BLS), and certification date.
Please list any other medical certifications, including the issuing agency, certification date and expiration date
National Ski Patrol Registration Status
Never Registered
Currently Registered - Candidate
Currently Registered - Patroller
Currently Registered - Alumni
Currently Registered - Associate
Currently Registered - Medical Associate
Currently Registered - Mountain Host
Previously Registered
If you have previously served as a ski patroller in any capacity, please provide your NSP registration number and your prior patrol(s) contact information, including patrol name, patrol director name, email address and telephone number.
Ski Experience
Please check all that apply
Inbounds Expert Terrain
Backcountry Expert Terrain
Ski Instructor
Racing Competition
Freestyle Competition
Describe your level of familiarity with Alpine Meadows.
*
Describe any history of volunteering or employment in the ski industry.
*
People often have a specific reason for becoming a ski patroller. Describe yours.
*
Ski patrolling is both mentally and physically challenging. Explain why you're up to the challenge.
*
As a ski patroller, you may need to make rapid decisions that can impact others' lives. Tell a story about a time you have managed high-stakes decision-making well.
*
We all fail from time to time. Explain how you manage your failures.
*
Personal Data
*
I agree that Alpine Meadows National Ski Patrol may store my personal data and provide it to Alterra Mountain Company, the National Ski Patrol, and any other legal entities that may require my personal information in order to become certified in and legally perform the job of volunteer ski patroller.
Volunteer Capacity
*
I am applying to serve as a volunteer ski patroller as a member of the Alpine Meadows National Ski Patrol. I am not seeking paid employment.