Backpacking Building Blocks Student Application

Student Detail Information

1. Please type your first and last name as you prefer to be called. *This question is required.

2. What city and/or neighborhood do you live in? (for carpool purposes)

3. What is your preferred transportation method to get to classes and group activities?

I have a car and prefer to drive
I have a car but prefer to ride with someone else
I don't have a car - need to ride with someone else

4. What constraints do you face for scheduling activities?

I can't easily get days off during the week
I can't easily get days off on weekends
My schedule is pretty flexible as long as I have some lead time
My schedule is flexible and I can get away without a lot of lead time

5. Do you want to be part of a mentor group to get additional help and support as you go through the B3 course? (groups will be assigned based on similar goals and experience level, and you can switch groups if you wish later)

6. If you want to request another student to be assigned to the same mentor group with you, please type their name(s) here.