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. YesNo
    I can set a temporary orienteering course. YesNo
    I can set a GPS course. YesNo
    My Standard First Aid/CPR training is current. YesNo
    My Standard First Aid/CPR training expires (mm/dd/yy):
    I am EMT trained and my training is current. YesNo
    Please list your affiliations with professional and/or recreational affiliations, associations and training certifications (for example, AEE, ASTD, etc.)
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