Valley Mill Rock Climbing

2020 Rock Climbing Application

  • Date Format: MM slash DD slash YYYY
  • Education

  • Adventure Sports Skills

    In the following list check only those activities you can organize and teach.
  • First Aid Skills

  • Camp Activity Skills

  • Maintenance Skills

    For the following indicate your skill level, 1 being Inexperienced to 5 being Expert
  • Placement

  • Work Experience

  • Personal References

    Please Provide Three References (Non-Family)
  • Transportation

  • Referral

  • Signature

    By entering my name below, I certify that all answers given are correct and true to the best of my knowledge, and understand that false information can lead to rejection of this application, or termination of employment.