2020 ROI Coaches Crew Application
Please take your time in completing all the questions. We will notify you via email of our decision mid-April 2019. Thank you for applying!
Full Name (Exactly as it reads on your license/ID) *
Your answer
Date of Birth (MM/DD/YYY) *
Your answer
Departure Airport *
Your answer
TSA pre-check and airline rewards numbers (optional)
Your answer
Email Address *
Your answer
Cell Phone *
Your answer
Mailing Address *
Your answer
Date of Birth - you must be 18 at the time of the leadership retreat. *
MM
/
DD
/
YYYY
Do you have Type 1 diabetes? *
Ability level: Please check all that apply! *
Required
Do you have any medical certifications? If yes, please list the certification and the renewal date. If no, type "no" *
Your answer
Have you attended a Riding On Insulin Camp before? Please check all that apply. *
Required
Which type of camp have you attended? Please check all that apply. *
Required
Are you currently certified as a ski/snowboard/mountain bike instructor or coach? If yes, please list the certification and date you were certified. *
Your answer
Do you have any certifications that will contribute to your success as a Riding On Insulin coach? *
Your answer
Why is being a part of Riding On Insulin important to you? *
Your answer
Why do you want to attend the on-snow coaches camp? *
Your answer
What skills or attributes will make you an amazing Riding On Insulin coach? Why should we choose you? *
Your answer
Reference - please provide one character reference from a former job or other organizations you have volunteered for: *
Your answer
Please give us a way to contact them - email, cell, Facebook, etc *
Your answer
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This form was created inside of Riding On Insulin.