Welcome to the Wildlife Leadership Academy 
Team Leader Application!  

Once you have submitted your preliminary application, it will be reviewed for initial approval, and, if eligible, you will be contacted for a phone interview.  Final acceptance will be decided upon after the interview and references have been contacted.
Begin Application
 
What's your full name? *

 
What is your preferred name?

This is what we'll put on your nametag.
 
What is your occupation?

 
Please indicate your e-mail address. *

This is our primary method of communication!  Please make sure your e-mail is accurate and up to date.
Please also be sure to check your "spam/social" folders, in the event that providers such as gmail have filtered our communications into a different folder.
 
Please indicate a secondary email address:

If using a school-associated email address, please include an alternate address.

We communicate often by email before and after the field school; many school associated network providers filter e-mails containing attachments as spam - providing an alternate e-mail address ensures you receive our communications.
 
Please fill in your permanent mailing address:

 
Address:

 
City:

 
State:

 
Zip Code:

 
County:

 
What is the best number to reach you? *

 
Is this number a cell phone?

     
 
Please list a secondary number at which you can be reached:

 
What is the best time to call you?

 
Where do you live?


 
What is you date of birth? *

Please use MM/DD/YEAR format
 
Please indicate your gender: *


 
What is your t-shirt size? *


 
Do you want Act 48 Credits? *

     
 
If you would like Act 48 credits, please indicate your PDE number:

 
Are you interested in obtaining graduate level credits through Cedar Crest College?

*

This is not a commitment!  If you are interested, please check "yes," and, if you are selected as an adult mentor, you will be sent more information about this option.
     
 
How did you learn about the Academy?


 
Are you, or have you ever been a volunteer with other youth organizations?

If yes, please summarize:
 
Please describe why you are interested in being a Team Leader at the Wildlife Leadership Academy.

 
Please describe any experience you have had with wildlife education, research, and/or management:

 
Please indicate your preference for field school:

Please indicate by ranking which field school you would prefer to mentor
(1 being the HIGHEST and 5 being the LOWEST)

Please also note: Team Leaders arrive the day before the new students, in order to familiarize themselves with the location and attend Team Leader orientation.  This is reflected in the dates below.
 
PA Bucktails (white tail deer focus)  **FIELD SCHOOL FULL FOR 2017**

June 12-17 at Stone Valley Recreation Area
Huntingdon County
 
PA Bass (bass focus)

June 26- July 1 at Camp Oak Hill
southern Lancaster County
 
PA Brookies (Brook trout focus)

July 17-22 at Sieg Conference Center
Clinton County
 
PA Drummers (Ruffed grouse focus)

July 17-22 at Stone Valley Recreation Area
Huntingdon County
 
PA Gobblers (turkey focus)   **FIELD SCHOOL FULL FOR 2017**
***NEW for 2017!***

July 24-29 at Stone Valley Recreation Area
Huntingdon County
 
Are you certified in first aid?

     
 
Please list any special skills you feel would benefit the field school:

 
Have you ever been convicted of any crime, including sex-related or child abuse related offenses? *

     
 
Have you ever been convicted of any charges that preclude you from handling or possessing firearms? *

     
 
Please list three professional references:

Please include their name, phone number, email, and relationship to you.
 
Reference #1

 
Reference #1 Name:

 
Reference #1 Phone Number:

 
Reference #1 E-mail Address:

 
Reference #2

 
Reference #2 Name:

 
Reference #2 Phone Number:

 
Reference #2 E-mail Address:

 
Reference #3

 
Reference #3 Name:

 
Reference #3 Phone Number:

 
Reference #3 E-mail Address:

 
All Team Leaders, once accepted to the Wildlife Leadership Academy, must complete and/or provide current copies of the following:

-National Background Check (conducted by PICE)
-PA State Police Request Criminal Records Check (Act 34)
-PA Department of Public Welfare Child Abuse History Clearance (Act 151)
-Child Abuse Reporting Training (online course) *

By clicking "I Accept," you certify that the information provided on this application is true and correct to the best of your knowledge and belief and that you have read and understand the background check, clearance, and training requirements.
     
Thanks for filling out our application {{answer_35895732}}!

Now that you have completed the preliminary application,
it will be reviewed, and, if eligible, you will be
contacted about a phone interview.

If you have any questions in the meantime, please feel free to contact our Program and Outreach Coordinator, Katie Cassidy, at 570-939-5109, or at kcassidy@piceweb.org
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