Course Application Course ApplicationApplicants MUST have ALL the required prerequisite certifications ready to upload to the application form. Accepted formats are: DOC, PDF & JPG. Your application WILL NOT COMPLETE without UPLOADING THESE CERTIFICATES. Contact InformationName* First Last Full Mailing Address**Include Post Office Box if required Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Phone*Email*We will be contacting you by email so please make sure it is correct after entering - Thank you Enter Email Confirm Email QualificationsHighest Level of Certification AchievedGuiding*NoneLevel 1 CSGALevel 2 CSGALevel 3 CSGAOtherIf you selected "Other" please describe:Date Completed Date Format: MM slash DD slash YYYY Scan of Guiding CeritifactionIf you do not currently have this certification please upload an accepted application for the course including expected completion date.Accepted file types: doc, pdf, jpg.Summer Glacier Skills Camp* Yes No Submitted Application Date Completed or Submitted Application* Date Format: MM slash DD slash YYYY Ski Instructor*OtherLevel 1 CSIALevel 2 CSIALevel 3 CSIALevel 4 CSIACASI Level 1CASI Level 2CASI Level 3CASI Level 4Registration - Must be uploadedIf you selected "Other" please describe:Date Completed Date Format: MM slash DD slash YYYY Scan of Ski Instructor Certification*If you do not currently have this certification please upload an accepted registration for the course including expected completion date.Accepted file types: doc, pdf, jpg.First Aid*OtherOccupational First Aid Level IIIWilderness First AidOutdoor Emergency CareEMT / EMRRegistration - Must be uploadedIf you selected "Other" please describe:Date Completed Date Format: MM slash DD slash YYYY Scan of First Aid Certification*If you do not currently have this certification please upload an accepted registration for the course including expected completion date.Accepted file types: doc, pdf, jpg.Avalanche Courses*OtherCAA Operations Level 1CAA Operations Level 2Registration - Must be uploadedIf you selected "Other" please describe:Scan of Avalanche Certification*If you do not currently have this certification please upload an accepted registration for the course including expected completion date.Accepted file types: doc, pdf, jpg.Date Completed Date Format: MM slash DD slash YYYY Work and Industry ExperienceExample: Two years employment as a Ski Guide at MIKE WIEGELE HELI-SKIING, Apprentice Ski Guide at SELKIRK WILDERNESS SKIING, Volunteer experience leading Alpine Club trips, etc.Upload Resume here Drop files here or Accepted file types: doc, pdf, jpg. Backcountry Experience and Ski Touring LogExample: CSGI Summer Mountaineering Course, Rigging for Rescue Courses, Outdoor Leadership training, Wapta Traverse, April 12 - 18, 2002, Spearhead Traverse, March 3 - 6, 2003, 30 days Garibaldi Park day trips, etcUpload your ski touring resume / log hereAccepted file types: doc, pdf, jpg.ReferencesEmployerContact Person First Last Employer's AddressIf this is the same as your personal mailing address you can enter: "same as above" in this field. Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe PhoneApplication AgreementI,*hereby apply for registration in the CSGI CourseEnter Course & Location*I understand that the following conditions apply: a) Course Fees are as follows: Level 1 $2335.00 + GST Level 2 $2650.00 + GST Level 3 Course $1325.00 + GST Level 3 Assessment $1325.00 + GST SGSC $1325.00 + GST b) Course Fee is non-refundable and payable to the CSGA/CSGI. A link for this payment will be sent via email. Once payment is received, a seat on the course will be reserved in the students name. The full course fee is due 50 days prior to course. c) Insurance for the course fee can be purchased by clicking the link provided within the course fee payment page. d) The tuition fee includes instruction, CSGI Manual/PDF and heli lift/time where applicable. e) The course may be cancelled due to insufficient enrollment. * I recognize that the course I have registered for takes place in hazardous mountain terrain. I agree to sign a waiver as printed in the brochure at the commencement of the course. * If this application is accepted, I agree to abide by the rules of the course, to be in regular attendance and to carry out the instructions of the administrator and the instructors of the course. f) I certify that my age is over 19 years.Please Select One:Summer Glacier Blue River 2020Level 1 Whistler 2020Level 1 Meadow Creek 2020Level 1 Keefer Lake Lodge 2020Level 2 Blue River 2020Level 3 Course Blue River 2020Level 3 Assessment Blue River 2020CAPTCHAEmailThis field is for validation purposes and should be left unchanged.
