CWA Committee Application

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* 1. What CWA Committee are you applying for today?

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* 2. Name

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* 3. Name of Organization

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* 4. Position/Title

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* 5. Work Address

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* 6. Phone

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* 7. Email

Instructions: Please check all that apply, or provide brief answers to the following questions. Use separate sheets if necessary. This application is intended to provide the selection committee with sufficient information to make informed appointments. No applicant will be granted or denied a seat on the committee based solely upon responses to these questions.

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* 8. The company I work for builds climbing walls.

Yes

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* 9. The company I work for manufactures equipment used on climbing walls.

Yes

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* 10. The company I work for operates a climbing wall or walls.

Yes

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* 11. I do not work professionally in the climbing industry, and would represent the public’s interests on the committee.

Yes

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* 12. Do you have previous experience in curriculum development, credentialing, or standards development?

Yes

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* 13. Do you have previous experience in routesetting, work-at-height training, or workplace safety?

Yes

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* 14. Is your organization a current CWA member?

Yes

I don't know

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* 15. Describe your work or professional experience, how many years of experience do you have in your field?

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* 16. How many years of leadership or management experience do you have?

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* 17. Describe the support your organization is willing to provide to you for your participation on CWA Committees (time, travel allowance, etc.).

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* 18. How many days of volunteer time could you commit to per year? (At a minimum, committee members are expected to participate in periodic teleconference meetings, participate in voting related to activities, and spend an average of two hours per week on CWA business during periods of activity).

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* 19. Do you hold any licenses, certifications, other credentials that might be relevant to the work of the committee? If yes, please list them here.

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* 20. Briefly describe any other relevant experience or areas of expertise you may have that might be relevant. If you have a climbing résumé, or similar document, please feel free to attach it to this application at the end of the page.

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* 21. Is there anything else you would like to share with the selection committee?

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* 22. Please attach brief letter of introduction and a résumé or curriculum vitae

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