Name*
Home Phone*
Cell Phone
Work Phone
Email*
Alternative Email*
Website
Address
City
Nearest Major Airport
State, Zip*
Select a stateAKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISDSCTNTXUTVAVTWAWIWVWY
Country
Gender
MaleFemale
Size for polo shirt
Please ChooseS-WomenM-WomenL-WomenXL-WomenS-MenM-MenL-MenXL-MenXXL-Men
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.
How did you find out about AAI?
Web SearchColleague Referred MeAEEWorked with AAI BeforeOther
Please check the most accurate description of your skills and experience with each of the following. Ctrl + click to select multiple
I have facilitated youth/camp programsI have co-facilitated adult groupsI have facilitated adult groupsI have facilitated corporate teams
MBTI
I don't know what the letters stand forI know my type preference and am familiar with the conceptsI have co-facilitated or assisted with an MBTI training workshopI am qualified and have administered MBTI in a corporate setting
DiSC
I don't know what the letters stand forI know what my profile is and am familiar with the conceptsI have co-facilitated or assisted with a DiSC training workshopI am qualified and have administered DiSC in a corporate setting
Sailing
Forget it. I get seasick taking a bathI am familiar with sailing recreationallyI have co-facilitated or assisted with a team building sailing programI have been the lead facilitator for a corporate sailing workshop
Orienteering
That's with a map and compass, right?I am very skilled getting around with a map and compassI have co-facilitated or assisted with a team orienteering programI have been the lead facilitator for a corporate workshop that implemented orienteering
GPS
Global positioning station, right?I have used a handheld GPS deviceI have co-facilitated or assisted with a team building GPS programI have been the lead facilitator for a corporate GPS workshop
Indoor Rock Climbing
Never did itI am an experienced rock climberI have co-facilitated or assisted with a team building rock-climbing programI have been the lead facilitator for a corporate rock-climbing workshop
Ropes Course
I know what it isI have participated in low and high ropes course elementsI have co-facilitated or assisted with a team building ropes course programI have been the lead facilitator for a corporate ropes course workshop
Logistics
Hate itI have organized personal adventuresI have assisted with the logistics for large group eventsI have been the lead logistics coordinator/facilitator for a corporate event
I am a US Coast Guard certified sailing instructor.
YesNo
I can set a temporary orienteering course.
I can set a GPS course.
My Standard First Aid/CPR training is current.
My Standard First Aid/CPR training expires (mm/dd/yy):
I am EMT trained and my training is current.
Please list your affiliations with professional and/or recreational affiliations, associations and training certifications (for example, AEE, ASTD, etc.)
