The Gil Alexander Memorial Lewis and Clark Leadership Course 2019 - Application Form
August 6-13, 2019: Montana Learning Center, Canyon Ferry Lake, Montana
Email address *
Name *
Your answer
Cell Phone *
Your answer
Residence/ Mailing Address *
Your answer
Gender *
Your answer
Race/Ethnicity *
Birth Date *
Your answer
School *
Your answer
Graduation Class *
Your answer
Parent's Names *
Your answer
Parent Contact Phone *
Your answer
Parent Email *
Your answer
Parent Email #2 *
Your answer
Activities / Interests *
Your answer
How did you find out about our program? *
Your answer
Describe your experience with Paddling a Canoe. *
Never Done This Before
Routine
Rate your strength as a swimmer. *
I cannot swim
I compete regularly on a swim team
Describe your level of experience with wilderness camping. *
Never Done This Before
Routine
List 2 references with their email and cell phone contacts. Please avoid using family members as references. Teachers, employers, coaches, etc. work well for this. If you have references from Lewis and Clark alumni from our past programs, please highlight. *
Your answer
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