Name: Application
SKU: 2107
Price: 50.00 USD
Availability: InStock

Applicant Information

Name*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Dates at Current Address*

Permanent Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Current Phone*

Permanent Phone*

Email*

T-Shirt Size*

University or College*

Academic Level*

Major*

Demographic Information

Information provided in this section will assist in quantifying demographic representation in our applications, and will not be factored into course acceptance decisions.

Birth Date*

Age*

Gender*

Female
Male
Non-binary

Preferred Pronouns*

She/Her
He/Him/His
They/Them/Their

Race/Ethnicity

References

Please list contact information for TWO references: one for your academic advisor and one for an additional reference of your choice (either academic or professional).

Academic Advisor's Name*

Prefix First Last

Academic Advisor's Department*

Academic Advisor's Email*

Academic Advisor's Phone*

Second Reference's Name*

Prefix First Last

Second Reference's Email*

Second Reference's Phone*

Relationship to Second Reference*

Professor
Employer

Other Information

Please specify course(s) for which you are applying:

First Choice*

Second Choice*

Are you seeking a WRFI General Scholarship for this course?*

Yes
No

if YES, complete the WRFI Scholarship Application as well.

Are you in good academic standing at your college or university?*

Yes
No

Explain why you answered 'No' to the previous question*

Have you been convicted of a criminal offense in the last 5 years?*

Yes
No

Explain why you answered 'Yes' to the previous question*

Emergency Contact Information

Name*

Relationship*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Daytime Phone*

Evening Phone*

Email*

Essays

Please answer the following questions, providing at least one paragraph per question:

What interests, experiences, or classes led you to apply to this WRFI course?

How will this WRFI course contribute to your education and possible career path?

WRFI courses may be demanding academically, physically, or emotionally. Which aspects do you expect to challenge you most?

Aside from your interest and experience in the outdoors, what personal attributes would you contribute to the group and learning environment? Please note that students do not have to have academic prerequisites or backcountry experience to participate in any WRFI course.

How did you find out about WRFI? If someone (an advisor, teacher, or WRFI alum) passed on the information to you, please list his/her name. If someone came to one of your classes to make a presentation, please list the specific class and professor.

Final Section

Applications must be accompanied by a $50 application fee. If you are accepted into a WRFI course, this fee will be applied to the tuition for the course. This fee is non-refundable in the event of withdrawal.

I certify that the information I have provided on this application is accurate and complete, and I agree to the application policies explained on this document.

Signature*

Date*

Comments

This field is for validation purposes and should be left unchanged.

Application

Explorers wanted.

Applicant Information

Demographic Information

References

Other Information

Emergency Contact Information

Essays

Final Section