SEEC Application Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Section 1: Short answer Section 2: Long answers

Email *

Your first and last name

1. I have been camping before. *

I need a shower twice-a-day and do not want to sleep on uneven ground

I have planned a self-directed over-night trip

2. Outdoor Activities: Are you willing to hike in the cold rain, fall out of a kayak in the ocean, go snow shoeing in winter, and engage in active outdoor activities

I agree and am excited to be tested

I am a little nervous, but willing to try new things

I'd rather opt out of a challenge

Clear selection

3. Interests: Please mark your top three (3) areas of interest *

Science, Biology, Lab work

Geology and Natural History

Survival skills

Habitat Restoration and Conservation

Hiking, Orienteering, and Outdoor Fitness

Environmental Issues and Solutions

GPS and GeoCaching, Orienteering

Traditional and Indigenous Knowledge

Outdoor leadership and Facilitating Challenge Activities

Ecosystems Interactions and Ecology

Sea kayaking and marine environments

Other:

Required

3b. Interest comments: *

4. Physical Fitness: Do you engage in aerobic exercise and activity : moderate to elevated heart rates above 100-140 beats per minute *

Never: walking to the house from a car: resting heart rate is where i spend most of my days

Sometimes: jogging with a dog, playing tag at recess but for short periods( 5 -15 minutes)

1 times a week : biking, walking up a hill , but a 5 km run is rare, no current fitness goals

3 times a week: on a soccer or cross country team

Competetive athelete: personal fitness goals are set and surpassed continuously

5. What grade math will you have complete? (choose one circle)

I am behind in my current grade level MATH

I plan to study Math through Distributed Learning

I will not do math at SEEC and have a plan for catching up.

I am in grade 9

I am in grade 10

I am in grade 11

I am in grade 12

Clear selection

5b. Math comments: (tell us about your experience with learning math) *

6. Self management: I am able to work independently with minimal to no supervision; set goals for myself; and self-asses my own areas for improvement *

Limited

Proficient

6b. Self management comments: *

7. Changing Environment: I am comfortable with changes in the daily plan with little notice, and I have the foresight to be prepared and am flexible in a dynamic environment. *

Need structure, instructions and reminders

Am capable of anticipating and adapting

7b. Ability to be flexible (your comments):

Clear form

Never submit passwords through Google Forms.

This form was created inside of SD64.

Forms