Full Name

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Age

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Gender
Male
Female

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Street

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City

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State

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Zip

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Phone Number

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Email

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Date available from (*)

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Date available to

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Current First Aid Certification Level and Expiry date

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DO NOT FILL THIS FORM IN IF YOU DO NOT HOLD CURRENT AMGA CERTIFICATION. YOUR APPLICATION WILL BE DELETED IF THERE IS NO AMGA CERTIFICATION ENTERED HERE.

AMGA Certifications Held (*)
AMGA Single Pitch Instructor
AMGA Rock Instructor
AMGA Rock Guide
AMGA Alpine Guide
AMGA Ski Mountaineering Guide
IFMGA Guide

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AMGA Training Courses Successfully Completed
AMGA Single Pitch Instructor Course
AMGA Rock Instructor Course
AMGA Ice Instructor Course
AMGA Rock Guide Course
AMGA Alpine Guide Course
AMGA Advanced Alpine Guide Course
AMGA Ski Mountaineering Guide Course
AMGA Ski Guide Course

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Any Other Professional Training or Certifications Relevant to this Position

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Current Confident Traditional Lead Grade: (*)

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Number of personal days climbing experience: (*)

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Number of Instructional or guiding days experience: (*)

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Overview of climbing instruction and guiding work history (*)

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Reasons for applying to Fox Mountain Guides and Climbing School (*)

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Additional Comments for the Review Committee

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Attach your current professional resume (*)

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Attach you current Climbing Logbook (MS Word/Excel or PDF File)

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Attach a Bio Picture of yourself

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