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ACES Educator-in-Training (EIT) Volunteer Application 2024
Hallam Lake & Rock Bottom Ranch
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Email
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APPLICANT INFORMATION:
(please fill out completely)
First Name
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Your answer
Last Name
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Your answer
Date of Birth
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MM
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DD
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YYYY
Email Address
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Your answer
Mailing Address
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Your answer
City
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State
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Your answer
Zipcode
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Your answer
Cell Phone
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School attending in Fall 2024
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Your answer
Grade entering in Fall 2024
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9
10
11
12
College
Parent/Guardian's Name
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Your answer
Relationship
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Your answer
Parent/Guardian's Phone Number
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Your answer
Please select any certifications you currently have
First Aid
Child CPR
Adult CPR
Wilderness First Aid (WFA) or Wilderness First Responder (WFR)
Other:
Allergies: Please list all allergies or dietary restrictions. Describe your allergic reaction and management, if applicable (e.g. I carry an Epipen and use it when...)
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Do you have any limitations which may affect your ability to perform this volunteer opportunity? If YES, please explain:
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