Domestic Course Applicatoin General Info Name (first & last)(Required) Prefered Pronouns Course/Trip you are applying for(Required) Date of the Course/Trip you are applying for Leave blank if you don't know or it it's not applicableDo you meet the prerequisites for this program(Required) Yes No N/A, no prerequisites are listed on the SIET website for this program Email(Required) Phone(Required) Address(Required) Age(Required) Ethnicity (optional) Emergency Contact Name & Phone(Required) FitnessPlease select a phrase that best describes your fitness level for the activity that you're planning on participating in. Prefer not to answer Somewhat fit Fit Above average fitness Athlete Elite Athlete Other Ski/Board AbilityPlease select a 'rating' that you can comfortably and competently ski/board (i.e. rarely fall) in ANY condition. Only fill out if you are participating in ski/snowboard programs. Prefer not to answer Green Circle Blue Square Black Diamond Double Black Diamond/Extreme Terrain Elite Athlete Other Climbing Ability/ExperiencePlease select a phrase that best describes your ability. Only fill out if you're participating in climbing or ski mountaineering programs. Prefer not to answer No experience Gym experience only Some outdoor experience, no leading experience Comfortable leading 5.6, toprope 5.8 Lead 5.7-5.9, TR 5.10 Lead 5.10 or harder Other Rental equipment needed:(Required) How did you hear about SIET? Any other information that you'd like your guide to know about you? Δ
