Boot Camp Application

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GREAT OLD BROADS FOR WILDERNESS

605 E. Seventh Avenue
PO BOX 2924
DURANGO CO 81302
970-385-9577
Fax 970-385-8550
E-mail: broads@greatoldbroads.org

Broads Boot Camp Application

Please fill out the information below and click on the"Submit" button at the bottom. (We suggest that you save the completed form on your system before hitting the "Submit" button.)

First Name:		Last Name:
Address:
City:
State:		Zip:
Email:		Phone:
Potential Broadband Location - general geographic reach of group proposed:
How long have you been a member of Great Old Broads for Wilderness?
What attracted you to Great Old Broads for Wilderness?
Why are you interested in being a Broadband Leader?
Do you know other members of Broads in your local area?
Are there any particular wilderness/wild lands issues on which you would like to focus in your local area or statewide?
Other conservation organizations in your area that address wilderness/wild lands issues?
Are you an active member of any of these organizations?
What strengths and experiences will you bring to the role of Broaband Leader?
Tell us briefly about your past/current leadership experience. Describe some of your strengths/challenges.
Electronic communication is an important tool for Broads. Describe your comfort/skill level using computers, especially for e-mail communication.
Are there time constraints or any other considerations that could effect your ability to make a two-year commitment as a Broadband Leader.
Additional information you would like us to know?
Please provide two references with whom we can talk about your conservation and leadership experience. Be sure to include phone numbers for your references.

Boot Camps are limited to 15-20 new leaders. We will review applications on an ongoing basis and will contact all applicants with our decisions. Please call or e-mail Rose Chilcoat, Associate Director, at 970-385-9577 or rose@greatoldbroads.org with any questions.

Thank you for your interest.

Confirmation of your submission will appear in a new window once your information has been processed.

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