Ski Patrol

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SKI APACHE PATROL

CANDIDATE APPLICATION FORM

PLEASE PRINT CLEARLY

Name __________________________________________Date____________________

STREET ADDRESS (FOR UPS SHIPPING)

____________________________________

CITY___________________________  STATE ______________ZIP + 4 ____________

PHONE  Home __________________

               Work ___________________

                Cell ____________________

E-Mail address ______________________________

OCCUPATION _______________________________________

FIRST AID EXPERIENCE _________________________________________________

SKING ABILITY________ BEGINNER______INTERMEDIATE_____ EXPERT

YEARS YOU HAVE SKIED____________

DAYS YOU SKIED LAST SEASON__________

WOULD YOU PATROL DURING THE WEEK?? _________

You may include this information in an E-mail to pszenasi@cableone.net

OR

Please print this form fill it our and send it to:

Phil Szenasi

2431 E.17^th St.

Odessa, TX 79761-3221

If you have decided to join the Ski Apache Patrol include your check for $124 made out to

Ski Apache Patrol

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