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PAD4O Outdoor Ed Autobiography
Please fill out this autobiography to give us a little background on you.
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* Indicates required question
Last name:
*
Your answer
First name:
*
Your answer
Period 1 class and teacher
*
Your answer
Period 2 class and teacher
*
Your answer
Period 3 class and teacher
*
Your answer
Period 4 class and teacher
*
Your answer
Are you 18 or turning 18 during this semester?
*
Yes
No
Why did you choose to take outdoor ed?
*
I love the outdoors
Sounded fun
I like being active
I thought it would be an easy course
It wasn't my choice
Do you have any outdoor experience?
*
Check all boxes that are appropriate.
CW Outdoor Ed
Camping with my parents
Scouts, Cadets or similar
I have no experience
Other:
Required
How would you rate your fitness level?
*
Excellent
Good
Fair
Poor
How would you rate your swimming ability?
*
Excellent
Good
Fair
Poor
None
What are you most excited about in this outdoor ed semester?
*
Check all the boxes that are appropriate.
Gatineau wintercamp
XC skiing
Rock climbing
Orienteering
Moving water canoe trip
Mountain biking
Required
What are you most nervous about in this outdoor ed semester?
*
Check all the boxes that are appropriate.
Gatineau wintercamp
XC skiing
Rock climbing
Orienteering
Moving water canoe trip
Mountain biking
Other:
Required
Do you have any medical or injury concerns?
*
If yes, please specify.
Your answer
Do you have any food allergies?
*
If yes, please specify.
Your answer
Do you have any food dislikes?
*
This is important for menu planning.
Your answer
How would you rate your commitment to homework?
*
Excellent
Good
Fair
Poor
What is your goal for your final mark in outdoor ed this semester?
*
80 - 100 %
75%
65%
A pass
Do you have an IEP?
*
Yes
No
Do you have access to a good computer with internet at home?
*
Yes
No
Do you have access to the internet in class on your cell phone, Ipod, tablet or laptop?
*
Yes
No
What would be the best way to get a hold of you in case of emergency?
*
Example: You are late for the bus for the moving water trip.
Your answer
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