Wirth Winter Recreation Area

Applying for snowboard instructor or tubing hill staff

NAME:

ADDRESS:

CITY: STATE:

ZIP: PHONE:

CELL:

ARE YOU UNDER THE AGE OF 18? YES NO

DATE OF BIRTH:

E-MAIL ADDRESS:

OCCUPATION:

Fill this section IF your appling for the instructor possition

SNOWBOARD TEACHING EXPERIENCE

YEARS TEACHING:

LOCATION:

CERTIFICATION LEVEL:

AASI STATUS: ACTIVE PASSIVE

AASI NUMBER:

AASI EXAM THIS YEAR:

AASI EVENT THIS YEAR:

OTHER:

AREAS OF INTEREST/AVAILABILITY

FRIDAY NIGHT (5-9) SATURDAY SUNDAY

CHECK ALL DAYS AND TIMES YOU ARE AVAILABLE

AVAILABLE CHRISTMAS BREAK:

AVAILABLE MLK DAY:

AVAILABLE PRESIDENTS:

COMMENTS: