AHS SUMMER OUTDOOR PROGRAM APPLICATION
This is an application for admission into Ashland High School's Summer Outdoor Program. This summer program offers 1 school credit for your participation in a backpacking trek and accompanying preparations and clean up. As a participant you will learn to live in the backcountry, evaluate your relationship with the environment, get exercise, and develop friendships. Expect the program to be exhilarating! You will have plenty of opportunity to learn about yourself and wild places as you embark on a mentally, physically, and emotionally challenging journey.

The main focus of the trip is a 9 to 11 day backpacking experience, which takes place in a nearby wilderness area. You will also participate in pre-trek activities (a fundraiser) and a couple of afternoons to organize the trek. All components of the program are required.

Scholarships will be awarded to applicants that write a letter explaining their financial need; this letter should be mailed or e-mailed after submitting this application. Letters can be addressed to Siskiyou Field Institute and mailed to P.O. Box 207 Selma, OR 97538 or e-mailed to youthprograms@thesfi.org

Again, scholarships are limited, so please be sure submit your ASAP. Paper applications will be made available to you in the AHS front office. If you submit a paper application to the AHS office, please e-mail Sarah Worthington at youthprograms@thesfi.org to notify her that you have turned in your application. We will only award scholarships to students that have submitted a completed application, a letter of intent for scholarship, AND all medical clearance paperwork. You will need to have a medical examination at the health center (or provide a copy of a recent physical) to ensure that you have no medical conditions that would make it unsafe for you to participate.

Instruction: Fill out this application completely. You are asked both general and personal questions as a part of the application. This gives us a chance to get a sense of you as a person - and it gives you a chance to share about yourself, which is an important part of the program. Students are not chosen on the basis of their interests, grades or skills, but rather their desire to participate fully in the program.

If you have any questions or need help completing the application, feel free to call our youth programs coordinator at 541-597-8530. Thanks! We look forward to receiving your application!

Name (First and Last) *
Your answer
Date of Birth *
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Grade (2018-2019 school year): *
Address *
Your answer
Phone Number *
Your answer
E-mail Address *
Your answer
Parent/Guardian’s name(s) *
Your answer
Phone Number *
Your answer
E-mail Address *
Your answer
1. Health or dietary considerations (ie. Allergies, medical conditions, dietary restrictions, etc): *
Your answer
Height and Weight: *
Your answer
2. First Aid or Emergency Care Training (note: this will not affect your being chosen – it’s just helpful information). Please include any water safety certificates: *
Your answer
3. Have you had any experience camping or backpacking? If so, please describe: *
Your answer
4. What are your hobbies and how would you rate yourself at them? (novice, intermediate, advanced, expert): *
Your answer
5. What experience do you feel has been the most challenging or important in your life and how have you responded to it? *
Your answer
6. Why do you want to participate in this program? *
Your answer
If accepted, I am available on the dates listed below: *
I have read the material attached about the summer outdoor program and I am interested in the program as described. If for some reason it becomes necessary for me to withdraw my application, I agree to notify Mandy Noel 541-597-8530 immediately. I understand that should I be selected to participate, I must refrain from the use of tobacco, alcohol, illegal drugs or engaging in any sexual activities/intimate relationships while on any SOP activity. I certify that all of the statements made in this application are true to the best of my knowledge. *
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