Outdoor Education & Leadership Emphasis Application General InformationName * Required First Last NAU (7-digit) student ID * Required0 of 7 max characters NAU email address * Required Current mailing address * Required Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone * RequiredExpected graduation semester: * RequiredFallSpringExpected graduation year: * Required201920202021202220232024202520262027202820292030OEL block prerequisite information Registered as a PRM Major in LOUIE Registered as Outdoor Education & Leadership Emphasis Area in Louie. PRM 331 -Outdoor Leadership Certification I:Semester taken GradePlease choose optionABCDFWIOtherPlease describe here if you have taken a NOLS, Outward Bound, or Wilderness Education Association Course that you would like to substitute for PRM 331. Please include the specific course and the date taken)0 of 3000 max charactersPRM 216- Wilderness First Responder medical certificationDates taken Expiration date on certification card Certification provider listed on card:NOLS Wilderness MedicineSOLODMMWMASierra RescueOtherPlease describe here if you have any other higher medical certification- WEMT, EMT, or OEC with expiration date; or a WFR provider not listed above0 of 3000 max charactersPersonal philosophy and goalsPlease describe your personal philosophy of Outdoor Leadership: * Required0 of 3000 max charactersPlease describe what you feel the most important lesson(s) you learned during PRM 331: * Required0 of 3000 max charactersFive immediate personal goals for the OEL block:Goal 1 * Required0 of 3000 max charactersGoal 2 * Required0 of 3000 max charactersGoal 3 * Required0 of 3000 max charactersGoal 4 * Required0 of 3000 max charactersGoal 5 * Required0 of 3000 max charactersPlease describe how the OEL Block may influence your long term career goals or ambitions: * Required0 of 3000 max charactersOutdoor experience resumePlease highlight up to 5 of your personal trip experiences in the outdoors. For each, include: Initial Pre-Trip Preparation time/Geographic Location / Area(s); Length of trip; Type(s) of activities (backpacking, biking, boating, climbing, etc.); what you learned.Experience 1 * Required0 of 3000 max charactersExperience 20 of 3000 max charactersExperience 30 of 3000 max charactersExperience 40 of 3000 max charactersExperience 50 of 3000 max charactersWork experiencePlease highlight up to 5 (if any) professional work experiences (either paid or as a volunteer) that are relevant to leading others in the Outdoors. For each, include: The organization/company/group; your designated role; Geographic Location / Area(s); Length of trip; Type(s) of activities (backpacking, biking, boating, climbing, etc.); what you learned.Work experience 1 * Required0 of 3000 max charactersWork experience 20 of 3000 max charactersWork experience 30 of 3000 max charactersWork experience 40 of 3000 max charactersWork experience 50 of 3000 max charactersCAPTCHAEmailThis field is for validation purposes and should be left unchanged.