Galway Mountain Rescue Team Application Form 2018
Please answer all questions.
Email address *
Personal Information
Name *
Your answer
Address *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
E-mail Address *
Your answer
Mobile Number *
Number only including country code with no spaces i.e. 353861234567
Your answer
Mountaineering Experience
What type of hillwalker are you? *
How many years have you been hillwalking?
Enter number of years
Your answer
On average over the past two years how often do you hill walk each month?
Your answer
What is the average duration of your walks to the nearest hour?
Your answer
What is the average distance walked in kilometers?
Your answer
Which mountain ranges/counties have you walked in on more than two occasions? *
Select all that apply
Required
Which other countries/ranges have you walked or climbed in?
Have you undertaken any night walks?
If yes please briefly describe your night time experience
Your answer
Do you have rock-climbing experience? If yes, please describe below
Include years climbing, grades climbed and experience of lead climbing
Your answer
Club Membership
Are you a member of a hillwalking club?
What is the clubs name?
Your answer
How many years have you been a member?
Please provide number of years
Your answer
Skills and Qualifications
Describe your fitness level
Your answer
Do you hold any Mountaineering Qualifications?
Please check all that apply
Indicate your level of navigational experience *
Beginner/Novice
Intermediate
Expert
Map & Compass
GPS
Night Navigation
Winter Conditions
Foul Weather/Low Visibility
Do you hold a valid first aid or medical qualification?
Availability for Callouts
Indicate times when you would not be available for callouts
8am-6pm
6pm-midnight
midnight-6am
All day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Any other relevant information on your availability?
(Work commitments/personal commitments/Frequent business travel)
Your answer
Declaration
I've completed this application accurately and completely to the best of my knowledge. I don't have any medical or other condition that might compromise a Mountain Rescue operation *
Required
Any Other Relevant information
Your answer
A copy of your responses will be emailed to the address you provided.
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