Star River Resort Guide Application Or Application for guide training Date: Name: Address: Telephone (H) Are

you 18 years of age or older? Yes No Whitewater Experience What year did you train and begin guiding commercial trips? (W)

Did you start canoeing or kayaking before guiding? Yes No If yes when? Local Experience Lower Gauley Tygart River Middle New River (Prince to Thurmond) Bluestone River Shenandoah River Cheat River Lower New River Potomac River Upper Gauley Big Sandy Creek Upper New River (Meadow Creek Prince) Number of Trips Dates

Whitewater Skills Circle the number that best reflects your Whitewater Skills and experience. (1 is lowest, 5 is highest) a. Teamwork ability 1 2 3 4 5

b. Outdoor cooking ability (Groups) c. First-aid skills d. Interpretive speaking e. Whitewater ability f. Musical ability

1 1 1 1 1

2 2 2 2 2

3 3 3 3 3

4 4 4 4 4

5 5 5 5 5

g. Camping ability h. Swimming ability Physical ability

1 1

2 2

3 3

4 4

5 5

Describe any physical challenges that you may have that might prevent you from guiding or Other guide-related duties. First Aid/CPR Please submit this application a recent photo of yourself and photocopies of valid CPR, First aid, EMT, etc., cards that you presently hold. References Please list the names of three people (not related to you) who have knowledge of your qualifications for the position. Name Address Phone No.

Present and Previous employment Please list your employers in the last two years, beginning with the most recent. If you need additional space, use the back of this page. Name Address Phone No.

May we contact these employers?

Yes

No

I hereby authorize the listed employers to disclose all requested information regarding my employment with said organization to Star River Adventures and agree to release said organization and its agents from all liability as a result of disclosure.

Applicants signature

Date