NATIONAL SKI PATROL
EDUCATION PROGRAM
SENIOR CANDIDATE APPLICATION
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NATIONAL SKI PATROL
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Date of Senior Candidate Application______________________________________
| PATROLLER INFORMATION | ||
|---|---|---|
| Name | NSP ID # | |
| Address | Patrol | |
| City, State, Zip | Years of Patrolling Experience | |
| Daytime Phone | Evening/Weekend Phone | |
Senior Candidate Signature__________________________________________ Date______________
 Senior Alpine |
Senior Nordic |
Senior Auxiliary |
| DIVISION APPLICATION INFORMATION |
|---|
This certifies that the above named candidate has demonstrated all the Basic ski patroller or Auxiliary skills and has sufficient knowledge, skills, and experience to participate in the national Senior training program.
Patrol Representative Signature_____________________________________ Date______________