AVALANCHE COURSES Avalanche Awareness

Transcription

1 National coure # Coure Location NATIONAL SKI PATROL EDUCATION PROGRAMS Starting Date Ending Date Total Total Paed Enrolled Total Incomp. Pg.1 Total Fail OEC OUTDOOR EMERGENCY CARE OEC Coure OEC Coure Hybrid OEC Challenge OEC Refreher Cycle A Year Cycle B Year Cycle C Year OEC Enhancement Seminar Module Lower Extremitie Upper Extremitie Head, Face, Neck, & Back Hip & Pelvi Chet, Abd & Genitalia Unreponive or Altered Guet Other (i.e. Special Olympic or Adaptive Skier) Outdoor Firt Care ALPINE - OET OUTDOOR EMERGENCY TRANSPORTATION Ski Enhancement Seminar Toboggan Enhancement Seminar Toboggan Refreher NORDIC Claic Nordic Skill Skate Nordic Skill Refreher Nordic Skiing Refreher Nordic Toboggan Refreher Nordic Skiing Enhancement Nordic Toboggan Enhancement Nordic Mater Senior Nordic Skiing CE Senior Nordic Toboggan CE AVALANCHE COURSES Avalanche Awarene Level 1 Avalanche Module Mod 1 - Claroom Mod 2 - Field Mod 3 - Organized Recue Mod 4 Refreher Mod 1 & 2 Mod 5 Refreher Mod 3 Level 2 Avalanche for Recue Peronnel MOUNTAIN TRAVEL & RESCUE MTR Fundamental MTR 1 MTR 2 MTR Enrichment Seminar ICS100 ICS200 ICS700 INSTRUCTOR DEVELOPMENT ID Coure ID e-coure INSTRUCTOR CE (CONTINUING EDUCATION) CLINICS OEC Avalanche Intructor Development MTR OET Nordic Toboggan PES SKILLS DEVELOPMENT Intro to Ski Patrolling Patroller Enrichment Sem. SENIOR PROGRAM - SENIOR MODULES Senior Aid Room OEC Module for the Senior Program Sr. OEC Clinic (Non-Credited Prep) Sr. OEC Evaluation/Tet (Credited) OET Module for the Senior Program Evaluation Clinic (Credited) Sr. Alpine Skiing Evaluation Sr. Alpine Toboggan Evaluation Nordic Module for the Senior Program Evaluation Clinic (Credited) Sr. Nordic Skiing Evaluation Sr. Nordic Toboggan Evaluation Sr. Nordic Travel (MTR2 i prerequiite) Senior - Trainer/Evaluator Clinic (Non Credited) OEC Sr. T/E Clinic OET Alpine Toboggan Sr. T/E Clinic OET Nordic Sr. T/E Clinic CERTIFIED PROGRAM Avalanche Hazard Evaluation Avalanche Rik Reduction Avalanche Recue Area Operation Medical Rik Management Rope Recue/Lift Evacuation Ski/Snowboard Toboggan (Qualification Clinic)

2 Pg.2 I certify that thi NSP education program wa conducted in accordance with National Ski Patrol training tandard and that the tudent have atified all knowledge and kill objective and aement. Special intruction or comment for National Office: Intructor of Record Name & Signature: NSP Number: IOR Phone Number: Cell Phone: Coure IT Name & Signature: NSP Number: IOR Patrol Name: Patrol Number: Final Eval - IT Name & Signature: NSP Number: Diviion: National Coure # Coure Location: IOR Name: NSP PATROL ID/NAME (i.e. X001) NSP ID NUMBER (6 DIGIT) or (PHONE, or DOB) LAST, FIRST NAME (Pleae Print Clearly) P a Inc. AND PHONE ADDRESS (FOR NON MEMBERS OR IF CHANGED)

3 Pg.3 Mail original coure completion record to: National Ski Patrol, 133 S. Van Gordon, Suite 100, Lakewood, CO Record may alo be ed to (Intructor: Pleae keep a copy of coure record, and follow diviion guideline and intructor manual for diviion ditribution of coure record.) National Coure # Coure Location: IOR Name: NSP PATROL ID/NAME (i.e. X001) NSP ID NUMBER (6 DIGIT) or (PHONE, or DOB) LAST, FIRST NAME (Pleae Print Clearly) P a Inc. AND PHONE ADDRESS (FOR NON MEMBERS OR IF CHANGED)

4 Pg.4 Mail original coure completion record to: National Ski Patrol, 133 S. Van Gordon, Suite 100, Lakewood, CO Record alo may be ed to (Intructor: Pleae keep a copy of coure record, and follow diviion guideline and intructor manual for diviion ditribution of coure record.) National Coure # Coure Location: IOR Name: NSP PATROL ID/NAME (i.e. X001) NSP ID NUMBER (6 DIGIT) or (PHONE, or DOB) LAST, FIRST NAME (Pleae Print Clearly) P a Inc. AND PHONE ADDRESS (FOR NON MEMBERS OR IF CHANGED)

5 Pg.5 Mail original coure completion record to: National Ski Patrol, 133 S. Van Gordon, Suite 100, Lakewood, CO Record may alo be ed to (Intructor: Pleae keep a copy of coure record, and follow diviion guideline and intructor manual for diviion ditribution of coure record.) National Coure # Coure Location: IOR Name: NSP PATROL ID/NAME (i.e. X001) NSP ID NUMBER (6 DIGIT) or (PHONE, or DOB) LAST, FIRST NAME (Pleae Print Clearly) P a Inc. AND PHONE ADDRESS (FOR NON MEMBERS OR IF CHANGED)

6 Pg.6 Mail original coure completion record to: National Ski Patrol, 133 S. Van Gordon, Suite 100, Lakewood, CO Record may alo be ed to (Intructor: Pleae keep a copy of coure record, and follow diviion guideline and intructor manual for diviion ditribution of coure record.) Intructor Teaching or Aiting with Coure (Diviion ue only) Pleae attach thi heet to a copy of coure record and end to the appropriate DIVISION SUPERVISOR. Coure Name: Coure #: Date: Location: Intructor of Record: IT of Record: Phone: Intructor tatu: Intructor,

7 Intructor tatu: Intructor, Pg.7 Starting Date Completion Date Total Enrollment Total Paed # of Hour Diviion Region Patrol Follow diviion ditribution of coure record per diviion policy and intructor manual. Intructor Teaching or Aiting with Coure (Diviion ue only) con t. Pleae attach thi heet to a copy of coure record and end to the appropriate DIVISION SUPERVISOR. National Coure # Date Coure Location: IOR Name: Intructor tatu: Intructor,

8 Intructor tatu: Intructor, Pg.8 Starting Date Completion Date Total Enrollment Total Paed # of Hour Diviion Region Patrol Follow diviion ditribution of coure record per diviion policy and intructor manual.