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Thank you for your interest in becoming a Sierra Club Outings leader! Your next steps are to:

Review the Prospective Leadership Packet (pdf) to determine which program you would like to lead in.
Fill out and submit this application so that we can direct you to the appropriate outings chair.

Personal Information:

First Name:
Last Name:
Address:
City:
State:
Zip:
Email Address:
Sierra Club Member ID:
Home Phone:
Work Phone:
Best Way to get in touch with you: (Select all that apply by holding down Control and Apple keys)

Leadership Questions

Which Sierra Club Outings programs interest you? (Select all that apply by holding down Control and Apple keys)
What geographic areas are you interested in leading trips?
Do you currently hold a volunteer leadership position within the Sierra Club? (Chapter Chair, Conservation Chair, Newsletter Editor, etc.)	Yes No
If so, what is the title of your position?
What types of outings would you prefer to lead? (Select all that apply by holding down Control and Apple keys)
Please list specific outdoor activities you are interested in leading: (e.g., canoeing, bicycling)
For what population would you prefer to lead? (Select all that apply by holding down Control and Apple keys)
How did you hear about Sierra Club Outings? (Please tell us who referred you and their relationship to you.)

First Aid Questions

What is your level of First Aid certification? Select one:	None Basic First Aid Advanced First Aid Wilderness First Aid Wilderness First Responder EMT Wilderness EMT Medical Professional (RN, MD, etc. Describe below.)
Expiration date (mm/dd/yr):
Are you CPR certified?	Yes No
Expiration date (mm/dd/yr):
First aid training comments:

General Questions

Why do you want to become a Sierra Club Outings leader?
What do you think might be the most rewarding part of being a Sierra Club Outings Leader?
What do you consider to be the most important traits of an effective outdoor leader? List and explain several.
What outdoor training programs/sessions have you previously attended? Include both those inside and outside the Sierra Club.
What do you think might be the most frustrating part of being a Sierra Club Outings leader?
Have you participated on Sierra Club Outings before?	Yes No
If yes, on what types of outings have you participated? Please list dates, travel mode and length of outing.
Are you currently, or have you been, an outdoor leader for another organization?	Yes No
If yes, what kinds of groups have you lead? Where, and for how long?
Please list all technical skill areas (i.e. rolling a kayak, mountaineering, backcountry chef, bicycle repair, etc) in which you feel you are competent:
Additional comments:

Last Updated 12/17/09

Sierra Club Outdoor Activity Training Program
85 Second St., 2nd Floor | San Francisco, CA 94105-3459 | Phone: 415-977-5711