Activity Information

Name

Location

Date

Please add any relevant experience you have that we should know about.

How did you hear about this opportunity?

This activity is not currently accepting registrations. Contact ATC Staff with any questions.

First Name

Last Name

Nickname

Phone

Street

City

State

Zip Code

Date of Birth

Type(s) of Interest (select all that apply)

Trail WorkEcosystem and Wildlife Habitat ProtectionSharing Information about the Appalachian TrailOffice/Administrative WorkOther Professional Expertise

Select location(s) to give ATC permission to email you future volunteer, training, or recreation activities. (select all that apply)

North (ME, NH, VT, MA, CT. NY, NJ)Central (NY, NJ, PA, MD, WV, VA)South (WV, VA, TN, NC, GA)Trailwide

This optional demographic data allows ATC to see how effective we are being at reaching all people as we work towards an inclusive volunteer corps.

Gender Identity

Ethnicity/Race (select as many as apply to how you most closely identify)

American Indian or Native AlaskanAfrican American/BlackAsianNative Hawaiian or other Pacific IslanderWhiteHispanic, Latino or Spanish OriginPrefer Not to Say

I am a Veteran

Certifications

Please add any Certifications you may have, as well as the date certified, expiration date (if applicable) and the party that oversaw the certification process.

Type

Date Certified

Expiration Date

Certifying Party

Add any relevant attachment (jpg, jpeg, png or pdf)

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Email

Emergency Contact Phone

Hidden Fields

ProjectId

Accepting Registrations

Type

Registration Status

RegisteredConfirmed

Status

Project Sign Up

Default Role

Not Recreational

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