Application for the Alderleaf Wilderness Certification Program

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Application for the Alderleaf Wilderness Certification Program

Welcome to the online application for the Alderleaf Wilderness Certification Program. We review and accept applications for the upcoming school year on a rolling admissions (year-round) basis and typically respond to applicants within two weeks. If you have any questions regarding the application, please contact the office at (360) 793-8709 or through our contact form.

We also offer a mail-in application form that can be downloaded, printed, and sent via postal mail.

Online Application for the Alderleaf
Wilderness Certification Program

Please note that all fields followed by an asterisk must be filled in.

First Name*
First Name*

Last Name*
Last Name*

E-mail Address*
E-mail Address*

Street Address*
Street Address*

City*
City*

State/Prov*
State/Prov*

Zip/Postal Code*
Zip/Postal Code*

Country*
Country*

Home Phone*
Home Phone*

Cell Phone

Mailing Address (if different from street address)

Gender

Date of Birth*
Date of Birth*

Highest Grade Completed*
Highest Grade Completed*

Last School Attended:*
Last School Attended:*

Current / Most Recent Employer:*
Current / Most Recent Employer:*

Professional Reference (name, phone & email):*
Professional Reference (name, phone & email):*

Please tell us about yourself, why you wish to attend the program, and how you will use the training:*
Please tell us about yourself, why you wish to attend the program, and how you will use the training:*

How did you hear about the Wilderness Certification Program?*
How did you hear about the Wilderness Certification Program?*

Do you have any physical, psychological, or medical conditions which may influence your ability, or may require special adaptation, to complete your training in the program? If so, please explain so that we may work together to the best of our abilities.

How do you plan to finance your participation in the program?*
How do you plan to finance your participation in the program?*

Verification:*
Verification:*

In checking this box, I certify that to the best of my knowledge the statements I have made in this application are complete and true.

Please enter the word that you see below.

Alderleaf Wilderness College: Nature & Wilderness Survival School
Located in Snohomish County in the Seattle / Puget Sound Region of the Northwest
360-793-8709 · 18715 299th Ave SE, Monroe, WA 98272

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