Potential Member Details form

Name:*

If you cannot answer "yes" to the following two questions it will not be possible fo you to attend our next selection event, therefore please do not submit this form, instead please re-register your interest at HERE to be informed of future selection events.

Will you be at least 18 years on or before 19th Jan 2019?:*
Can you be available for an overnight, 2 day selection event 19th and 20th Jan 2019. (please DO NOT cancel other plans yet, unless you receive an invitation):*
Phone:*
-
E-mail:*
E-mail confirmation:*
Address:*
Do you have access to your own transport? including short notice, 24/7 transport in the event of a callout*
Please give details of any Hill/Mountain walking experience you have*
Please give details of any experience you have with difficult or steep terrain, climbing, scrambling or other activities at height*
Please give details of any experience you have with water sports or water based activities*
Please give details of any other experience you feel might be relevant*
PLease give details of experience working as part of a team*
Do you have any relevant first aid/Medical qualifications or experience?*
Personal statement: As concisely as possible, please explain why you are interested in joining, What is your level of availability eg are you available to train at weekends and evenings, How flexible are you at other time to attend Call-outs*
Are you a Robot?: