Breckenridge Outdoor Education Center
Volunteer Interest Form
Volunteer Interest Form
Applicant Information
Basic Information
Salutation
Please select...
Mr.
Ms.
Mrs.
Dr.
Prof.
First Name
Middle Name
Last Name
Birthdate
Height
Ft
In
Weight
Gender
Please select...
Male
Female
I choose to self identify.
Please self-identify here
Military Veteran\Active Duty Military
Contact Information
Email
Phone
Other Phone
Address
Street
City
State/Province
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Alabama
Alaska
Arizona
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Colorado
Connecticut
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District of Columbia
Florida
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Hawaii
Idaho
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Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Outside of the USA
Zip/Postal Code
Country
Do you reside in Summit County?
Yes
No
Emergency Contact Information
Emergency Contact Name
Emergency Contact Phone Number
Emergency Contact Relation
Please select...
Parent\Guardian
Sibling
Grandparent
Family Friend
Other
Medical Information
Disability
Please select...
None
Multiple sclerosis
ADD/ADHD
ALS
Autism Spectrum Disorder
Bereaved
Bipolar Disorder
Cancer
Cerebral Palsy
Cleft Lip/Palate
Cognitive Impairment
Conduct Disorder
Down Syndrome
General Anxiety Disorder
Hearing Impairment
Hemophilia
Learning Disability
Major Depressive Disorder
Muscular Dystrophy
Neurocognitive Disorder (Dementia)
Panic Disorder
Parkinson's Disease
Personality Disorder
Physical Injury (amputation)
Prader-Willi Syndrome
PTSD
Schizophrenia
Speech Impairment
Spina Bifida
Spinal Cord Injury
Stroke
Substance Abuse
Traumatic Brain Injury
Visual Impairment
William's Syndrome
Brain Injury/Traumatic Brain Injury
Are you vaccinated for COVID-19
Yes
No
Please Upload COVID-19 Vaccine Card
Health Insurance
Please note that the BOEC requires all volunteers to have current health insurance coverage
Do you have health insurance?
Yes
No
Please Upload Insurance Card
Volunteer Information
Are you a returning volunteer
Yes
No
Number of years volunteering
How did you hear about us?
Please select...
Advertisement
Customer Event
Employee Referral
External Referral
Google AdWords
Other
Partner
Purchased List
Trade Show
Webinar
Website
If Other Please Specify
Why do you want to volunteer with BOEC?
Please enter the range that best describes your ability to assist an instructor in lifting a person on a ski lift.
Please select...
Cannot Assist
25+
50+
100+
150+
200+
Do you speak any languages besides English?
Spanish
Chinese
German
Vietnamese
French
Russian
Korean
Afro-Asiatic
Arabic
Japanese
Hindi
Nepali
Marathi
Western African
Italian
Are you volunteering on behalf of a company or organization?
Yes
No
Company/Organization
Volunteer Role Preferences
Winter Adaptive Ski and Snowboard Volunteer
Summer Wilderness Volunteer
Adaptive Cycling Volunteer
Skiing Ability
Please select...
Beginner
Intermediate
Advanced
Never
Snowboarding Ability
Please select...
Beginner
Intermediate
Advanced
Never
Nordic Skiing Ability
Please select...
Beginner
Intermediate
Advanced
Never
Relevant experience and Accreditation(s) achieved
List Days Available to Volunteer
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
I have a flexible or inconsistent schedule. Please contact me for details.
Approximate # of days wishing to volunteer this season
Please select...
Up to 5
5-10
10-15
15-20
20-25
25-30
30+
Please check all locations where you are willing to volunteer
Breckenridge Ski Resort
Keystone Ski Resort
Copper Ski Resort
Please explain any location preferences
Please add any additional comments (i.e. lesson type and/or population preference and experience) here.
Frequent Communication
By checking this box, I understand I will be added to our frequent communication about Volunteer Opportunities
Upon hitting submit, you will be redirected to our required volunteer contract and waivers. Please take a few minutes to complete these short forms before exiting the page. Thank you!
Contact Information