TELLURIDE ADAPTIVE SPORTS PROGRAM

New Volunteer Information Form 2005/06

I am a: / New Volunteer / Returning Volunteer
(this is my year with TASP)
Name:
Address:
City, State, ZIP: / County:
Phones: / Home: / Cell: / Work:
Email address:
Please check your preferred method of contact: email cell phone home phone
**please note that we prefer to contact via email and will assume this is your preferred method unless otherwise noted**

I am / am NOT interested in my phone number email and/or city to be included in a secureTASP Directory that all Instructors may use to contact each otherto discuss carpooling, upcoming lessons, etc.

Please checkthe days you will usually be available and interested in volunteering:

Mondays / Tuesdays / Wednesdays / Thursdays / Fridays / Saturdays / Sundays

Please list specific dates or blocks of time in which you will NOT be available or any other notes about your scheduling preferences:

I would like to be a : / Volunteer Lead Instructor / Volunteer Assistant Instructor

AREAS OF INTEREST:

Are there certain disabilities, or styles of skiing, with whom you would like to volunteer this winter?
Visually Impaired Guiding Stand-Up Alpine Cognitive Delay 3Track/4Track Telemark
Sit-Down Bi-Ski Sit-Down Mono-Ski Snowboarding Hearing Impaired (do you sign? yes/noyesno)
Snowbike Cross CountrySkiing Snowshoeing Ice Skating Ice Climbing
Other volunteer opportunities: Administrative Fundraising Video Production
Other areas of expertise:

PLEASE NOTE YOUR DISCIPLINES and RATE YOUR SKIING ABILITY:

Disciplines / Beginner Intermediate Advanced
Alpine
Snowboard
Telemark
Nordic
Adaptive (Type: )
Current PSIA/AASI certifications, if any (discipline & level):
  • Do you have your own ski pass for this season?
  • I am currently(please check all that apply) First AidCPRWFAWFREMT certified. My certification(s) expires on . (please provide copy of certifications to office)
  • Do you speak a foreign language? If yes, what language(s) and at what fluency?

PREVIOUS EXPERIENCE:

  • Adaptive or other experience with people with disabilities:
    Where, when, how long?

  • Teaching or guiding experience:
    Where, when, how long?

  • Other pertinent professional credentials or certifications:

PLEASE LIST 3 REFERENCES: (ONLY FOR NEW VOLUNTEERS)

Name / Email / Phone

ACKNOWLEDGEMENT OF RESPONSIBILITIES

Adaptive ski/snowboard instruction can be challenging yet some of the most rewarding work out there. Volunteer Instructorsmay be asked to ski without poles, backwards, ride switch, load/unload adaptive equipment on/off chair lifts and act sillier than you ever thought possible. This is what we do! Please initial the following:

I acknowledge there are basic physical requirements for volunteer involvement. I understand that if I cannot perform expected volunteer functions or if I need specific scheduling due to medical concerns it is my responsibility to tell TASP of this and they will try to provide reasonable accommodation.
I understand that being involved with TASP may require physical assistance including lifting, loading or unloading adaptive equipment and people with disabilities from chairlifts and other ski area infrastructure.
I can lift 50lbs.
I understand there is a basic level of training that is expected of me to become an active volunteer for the season.
I understand that TASP is mandated by law to report any suspected child abuse or neglect and any concerns will be reported to TASP Executive Director, Program Director or Program Manaber.
I understand that Volunteers are NOT covered by workers compensation while participating with TASP. Any medical expenses or injuries incurred while involved in this program are my responsibility.
I understand that my involvement can besuspended or terminated due to actions that violate Telluride Ski Area Safety practices or any TASP Guidelines and Good Practiceswhile acting as a TASP volunteer.
I understand my application and accompanying paperwork will be reviewed by TASP staff before my involvement begins. This includes references and a background check.
Volunteer: / TASP Staff
Print Name: / Signature:
Signature: / Title:
Date: / Date:

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