2018 AMGA SCHOLARSHIP APPLICATION [DUE BY JULY 1 2T, 2017 NO EXCEPTIONS]

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Shona Boyd
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2018 AMGA SCHOLARSHIP APPLICATION [DUE BY JULY 1 2T, 2017 NO EXCEPTIONS] EMAIL THIS APPLICATION TO SCHOLARSHIPS@AMGA.

1 2018 AMGA SCHOLARSHIP APPLICATION [DUE BY JULY 1 2T, 2017 NO EXCEPTIONS] THIS APPLICATION TO SCHOLARSHIPS@AMGA.COM [PERSONAL INFORMATION] NAME: ADDRESS: PHONE: AGE: GENDER: CURRENT EMPLOYER(S): YEAR YOU BEGAN GUIDING: DAYS PER YEAR YOU GUIDE PROFESSIONALLY: ARE YOU CURRENTLY UNDER CONTRACT FOR A COMPANY AS A SPONSORED ATHLETE/AMBASSADOR OR DO YOU WORK CLOSELY WITH A COMPANY PROVIDING A SCHOLARSHIP? YES NO IF YES, WHICH COMPANY(IES) DO YOU WORK WITH?: [MEMBERSHIP INFORMATION] *IN ORDER TO APPLY FOR A SCHOLARSHIP YOU MUST BE A CURRENT PROFESSIONAL MEMBER ARE YOU A CURRENT PROFESSIONAL MEMBER? YES NO WHAT YEAR DID YOU JOIN THE AMGA? 1

2 [PROGRAM INFORMATION] CHECK ALL AMGA CERTIFICATIONS YOU HOLD AND YEAR OBTAINED: CERTIFICATION YEAR OBTAINED CERTIFIED CLIMBING WALL INSTRUCTOR CERTIFIED SINGLE PITCH INSTRUCTOR CERTIFIED ROCK INSTRUCTOR CERTIFIED ALPINE GUIDE CERTIFIED ROCK GUIDE CERTIFIED SKI GUIDE CHECK ALL AMGA PROGRAMS YOU VE COMPLETED AND YEAR COMPLETED: PROGRAMS YEAR COMPLETED ALPINE SKILLS COURSE ALPINE GUIDE COURSE ADVANCED ALPINE GUIDE COURSE/ASPIRANT EXAM ALPINE GUIDE EXAM ICE INSTRUCTOR COURSE ROCK GUIDE COURSE ADVANCED ROCK GUIDE COURSE/ASPIRANT EXAM ROCK GUIDE EXAM ROCK INSTRUCTOR EXAM SKI GUIDE COURSE ADVANCED SKI GUIDE COURSE/ASPIRANT EXAM SKI GUIDE EXAM 2

3 PROGRAM(S) YOU RE APPLYING FOR IN 2018 (CHECK ALL THAT APPLY): *APPLICANT MUST MEET ALL OF THE PRE-REQUISITES FOR THE PROGRAM THAT THE SCHOLARSHIP WILL BE APPLIED TOWARDS; IF YOU DO NOT, YOUR SCHOLARSHIP WILL BE REVOKED. ALPINE GUIDE COURSE ADVANCED ALPINE GUIDE COURSE/ASPIRANT EXAM ALPINE GUIDE EXAM ICE INSTRUCTOR COURSE ICE INSTRUCTOR EXAM ROCK GUIDE COURSE ADVANCED ROCK GUIDE COURSE/ASPIRANT EXAM ROCK GUIDE EXAM ROCK INSTRUCTOR EXAM SKI GUIDE COURSE ADVANCED SKI GUIDE COURSE/ASPIRANT EXAM SKI GUIDE EXAM [SCHOLARSHIP INFORMATION] HAVE YOU APPLIED FOR AN AMGA SCHOLARSHIP BEFORE? YES NO HAVE YOU RECEIVED AN AMGA SCHOLARSHIP BEFORE? YES NO IF YES, LIST ALL SCHOLARSHIPS AND YEAR RECEIVED: SCHOLARSHIP YEAR RECEIVED SPECIFIC SCHOLARSHIP(S) THAT YOU RE APPLYING FOR IN 2018 (CHECK ALL THAT APPLY): ADIDAS OUTDOOR AMGA OFFICE STAFF 3

4 SPECIFIC SCHOLARSHIP(S) THAT YOU RE APPLYING FOR IN 2018 CONTINUE (CHECK ALL THAT APPLY): ARC TERYX BROOKS RANGE MOUNTAINEERING CASIO AMERICA CHAD VANDER HAM MEMORIAL FUND SKI DISCIPLINE ONLY, VIDEO SUBMISSION REQUIRED CRAIG LUEBBEN ROCK CANDIDATE WITH OFFWIDTH EXPERIENCE DOUG PARKER AND ROGER BAXTER-JONES MEMORIAL ALPINE, ROCK, OR SKI EXAM DYNAFIT SKI DISCIPLINE F.O.R.G.E. SCHOLARSHIP SPLITBOARDERS PREFERRED, VIDEO SUBMISSION REQUIRED FALLEN GUIDES MEMORIAL FUND STRENGTH OF CHARACTER G3 SKI DISCIPLINE JIM RATZ MEMORIAL LAST EXAM TOWARD IFMGA CERTIFICATION JULBO SKI DISCIPLINE JULIE CHENEY CULBERSON EDUCATIONAL FUND WOMEN S SCHOLARSHIP LIZ DALEY (PRESENTED BY EDDIE BAUER) WOMEN S SCHOLARSHIP MAMMUT MIKE HATTRUP SKI GUIDE EXAM MOUNTAIN HARDWEAR OUTDOOR RESEARCH PATAGONIA WOMEN S SCHOLARSHIP PETZL THE NORTH FACE THE WALKER FAMILY FOUNDATION W.L. GORE YOUNG ASPIRING GUIDE FIRST AMGA MOUNTAIN GUIDE PROGRAM 4

5 [A EE ENT] I hereby attest that all of the information provided is accurate. I agree that if I am an AMGA Scholarship recipient that I will provide the AMGA office with the required scholarship materials within 4 weeks of completing my applicable program. These materials include, but are not limited to, a written report of the program (500-word minimum), a 3-5 minute video, and a minimum of 10 captioned photographs. Upon receipt of the required scholarship materials, the AMGA office will reimburse the applicable tuition funds. SIGNATURE DATE NAME PRINTED [ESSAY QUESTION] USING THE SPACE BELOW OR A SEPARATE DOCUMENT, EXPLAIN WHAT MAKES YOU A GREAT CANDIDATE FOR AN AMGA SCHOLARSHIP (1 PAGE MINIMUM/2 PAGE MAXIMUM/DOUBLE SPACED). 5

6 [ESSAY QUESTION CONTINUED] 6

2016 AMGA SCHOLARSHIP APPLICATION

2016 AMGA SCHOLARSHIP APPLICATION TH [DUE BY JUNE 5, 2015 NO EXCEPTIONS] *ELECTRONIC SUBMISSIONS ONLY **PLEASE EMAIL THIS COMPLETED FORM TO VALERIE@AMGA.COM ***IF YOU ARE APPLYING FOR ONLY A VIDEO SUBMISSION