Pre-Adaptive Coach Application
PAC Mission...."Make a difference in our lives and the lives of others".
Applicant Information
Please fill out information to the best of your knowledge
Full Name
Date of Birth
Mailing Address
Home Phone
Cell Phone
Email Address
Parent(s)/Guardian(s) Information
Please enter information about your parent(s) or legal guardian(s)
Parent(s)/Guardian(s) Name
Cell Phone
Email Address
Education Information
Please fill in information about your current school status
Name of School
Year in High School
Please fill out questions to help us learn more about your
Please describe in your own words what responsibilities PAC members have:
What community/school programs, clubs or sports are you involved in?
Do you have other winter commitments? If so, do you have a plan to be able to commit 24 days to the program and to attend our mandatory Winter Season Volunteer Kick Off on November 12 & 13?
Describe any experience you have in working/teaching a person with a disability:
Do you have prior experience in adaptive sports? If so, please explain:
Have you worked/volunteered at a ski area in the past?
What is your skiing/riding ability?
Do you have any certifications or awards?
Why do you want to become a PAC volunteer?
Explain how you would be a valuable member of the PAC Program:
How did you hear about New England Disabled Sports?
Please have references mail, email, or fax letters of reference to:
Mail: New England Disabled Sports - PAC Application PO Box 26, Lincoln, NH 03251
Fax: 603-728-1771 Phone: 603-745-9333
Reference #1: Please give Name, Email, Relationship, Phone Number
Reference #2: Please give Name, Email, Relationship, Phone Number
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