Facilitator Profile

Contact Information

Name*
Home Phone*
Cell Phone
Work Phone
Email*
Alternative Email*
Website
Address
City
Nearest Major Airport
State, Zip*
Country
Gender
Size for polo shirt

Paste the text of your Professional Bio here. The length of your bio may NOT EXCEED 450 characters. For example: Since 1990, I've led corporate teams through outdoor adventures and training workshops. My 10 years experience as a training director for a Fortune 500 company and my Bachelor's degree in Organizational Dynamics provide a solid backdrop for my facilitation skills.

Please upload your resume (PDF or Word, preferred):

How did you find out about AAI?

Facilitation Experience

Please check the most accurate description of your skills and experience with each of the following.
Ctrl + click to select multiple

MBTI
DiSC
Sailing
Orienteering
GPS
Indoor Rock Climbing
Ropes Course
Logistics

I am a US Coast Guard certified sailing instructor.  Yes No
I can set a temporary orienteering course.  Yes No
I can set a GPS course.  Yes No
My Standard First Aid/CPR training is current.  Yes No
My Standard First Aid/CPR training expires (mm/dd/yy):
I am EMT trained and my training is current.  Yes No

Please list your affiliations with professional and/or recreational affiliations, associations and training certifications (for example, AEE, ASTD, etc.)