New Leader Application

* 1. Your contact information:

* 2. How old are you?

* 3. Have you participated on a Sierra Club Outing before?

* 4. Why do you want to become an Outings Leader for the Sierra Club?

* 5. What kind of outings are you interested in leading? (check all that apply)

* 6. Please check off all outdoor activities you are interested in leading:

* 7. Please list technical skill areas (i.e. kayaking, mountaineering, backcountry chef, bicycle repair, etc) in which you feel you are competent:

* 8. For what populations would you like to lead? (check all that apply)

* 9. What is your level of First Aid certification?

* 10. If you have first aid training, when is the last time you took it (month/year)?

* 11. Are you a Sierra Club member?

* 12. Are you currently, or have you been, an outdoor leader for another organization?

* 13. Please use this space for any comments/questions you may have. One of our Sierra Club training organizers will be in touch with you soon!

Please click "Done" to complete your registration. THANK YOU FOR YOUR INTEREST! A member of our Outings Committee will be in touch within 5-10 business days. Contact our Chapter Outings Chair, Kelly Mieszkalski (; 919.624.2225) with questions.