CMSP Candidate Application

Crystal Mountain Ski Patrol                
Volunteer Patrol
Candidate Application

Please print this document and mail it to:

5219 East 32 Rd,
Cadillac, MI 49601

or e-mail it to Jackie Bottomley: jbottomley@charter.net

Name: ___________________________________________________

Address: _________________________________________________

City: ____________________________ State: _____ Zip Code: _____


Please indicate preferred phone contact number:
Home Phone Number: (___) ___-_____
Cell Phone Number:    (___) ___-_____
Work Phone Number:  (___) ___-_____

E-Mail Address: ____________________________________________

Date of Birth: ______________________________________________

Have you been a member of the National Ski Patrol in the past?
No: ___       Yes: ___ Previous Membership Number: ______________

Have you had previous first aid training?
No: ___       Yes: ___ What type? ___ Boy Scout/Girl Scout First Aid Training
                            ___ Red Cross First Aid Training: If so, what course(s)?
                            ____________________________________________
                            ___ Other, please specify: _______________________
                            ____________________________________________

Do you have advanced medical training?
No: ___       Yes: ___ EMT – Basic     ___ EMT – Paramedic 
                            ___ Nurse: RN LPN ___ Doctor/Dentist
                            ___ I plan to challenge the OEC Course

Please estimate your current skiing ability.
___ Beginner - Wedge turns
___ Intermediate - Parallel between turns, step out to initiate turns
___ Advanced parallel skier - Some skid in turns, some edged turns
___ Racing - highly edged turns, comfortable in gates

Please print this document and mail it to:

5219 East 32 Rd,
Cadillac, MI 49601

or e-mail it to Jackie Bottomley: jbottomley@charter.net

Date Application Received: ___/___/______