Galway Mountain Rescue Team Application Form 2021
Please answer all questions.
This information is gathered in order to allow the Officers of Galway Mountain Rescue Team to assess the suitability of applicants. It will only be used for the purpose of assessing candidate suitability and will only be retained for the duration of the assessment process.
Please only submit this form if you consent to Galway Mountain Rescue Team storing your data.
* Required
Email address
*
Your email
Personal Information
Name
*
Your answer
Address
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Mobile Number
*
Number only including country code with no spaces i.e. 353861234567
Your answer
Mountaineering Experience
What type of hillwalker are you?
*
Choose
Regular
Occasional
Rarely or Never
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
Maamturks
Mweelrea
Benchoona Area
Twelve Bens
Croagh Patrick
Ben Gorm/Ben Creggan
Sheefrys
Galtees
Comeraghs
Mournes
Donegal
Kerry
Wicklow
Other:
Required
Which other countries/ranges have you walked or climbed in?
Wales
England
Scotland
Alps
Pyrenees
Other:
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?
Choose
Yes
No
What is the club's 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
Mountain Skills Assessment
Walking Group Leader Award
Mountain Leader Award
Winter Mountain Leader
International Mountain Leader
Mountaineering Instructor Award
Mountaineering Instructor Certificate
Single Pitch Award
Multi-Pitch Award
Other:
Indicate your level of navigational experience
*
Beginner/Novice
Intermediate
Expert
Map & Compass
GPS
Night Navigation
Winter Conditions
Foul Weather/Low Visibility
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?
Occupational First Aid / First Aid Responder
Cardiac First Responder
Emergency First Responder
Emergency Medical Technician
Paramedic
Advanced Paramedic
Rescue Emergency Care Level 3 or above
Registered Nurse
Medical Doctor
Other:
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
8am-6pm
6pm-midnight
midnight-6am
All day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Clear selection
Any other relevant information on your availability?
(Work commitments/personal commitments/Frequent business travel)
Your answer
Declarations
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.
*
I agree
Required
I commit to completing the Mountain Skills Assessment within the initial training year
*
Completion of the Mountain Skills Assessment (MSA) is one of the conditions of Full Membership of the team. Applicants should be aware that this requires self-motivation and commitment, and that failure to display adequate progress on this at any stage throughout the training period (approx. 12 months) may result in removal from the training programme. Information on the MSA can be found here:
https://www.mountaineering.ie/TrainingAndSafety/ClubTrainingAndMountainSkills/MountainSkillsTraining/default.aspx
I agree
Required
Any Other Relevant information
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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