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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Have you successfully completed any AMGA Training Courses?

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Do you hold any AMGA Certifications?

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Current First Aid Certification Level and Expiry date

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Any Other Professional Training or Certifications Relevant to this Position

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Relevant Personal Experience in Outdoor Pursuits (rock climbing, mountaineering, camping, hiking, etc)

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Relevant Instructional Experience in Outdoor Pursuits

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Reasons for applying for an internship with Fox Mountain Guides and Climbing School:

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What qualities do you have that make you the best candidate for this position?

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Additional Comments for the Review Committee

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Attach a Bio Picture of yourself

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

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