Request edit access
GENESIS APPLICATION
Please answer all questions prior to submission.
Sign in to Google to save your progress. Learn more
Applicant name:
What are you passionate about? Explain
From the following list identify your personality traits.
Please list any groups, teams or clubs that you have been a member of.
What do you hope to gain from taking the GENESIS Program for the semester?
How would you describe your typical role in group work situations?
Please state your level swimming proficiency. Please note all participants will be tested to verify competence.
Clear selection
Do you have any health conditions that would prevent you from participating in canoe camping, portaging, 50km+ cycling trips, rock climbing, caving and adventure racing?
Clear selection
What would you do if one of your team/group members didn't put forth an acceptable amount of effort in a required activity?
What motivates you to achieve high levels of success?
Clear selection
FITNESS: Can you run a 400 m track four times without stopping? Y/N. Explain *
Do you know how to ride a bicycle?
Clear selection
In the space provided you may share any additional information you feel is relevant to this application.
Thank-you.
GENESIS APPLICATION QUESTIONS
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report