Cobscook Community Learning Center

	A 15 Day Backcountry Adventure for Youths Ages 11-15
	Application

Current Course Listing

Policies

Sliding Scale Info

Instructor Application

Name Parent/Guardian Name:

Email Phone

Address City/Town State Zip

School:

Are you interested in receiving school credit? Yes No

First Choice: Session 1 Session 2

Second Choice: Session 1 Session 2

Do you need a scholarship? Yes No

How much can you contribute toward tuition? $

How did you hear about the Maine Expedition?

Will this be your first overnight camp experience? Yes No

Will this be your first backpacking experience? Yes No

Will this be your first canoeing experience? Yes No

PLEASE NOTE: No previous camping, hiking, backpacking or canoeing experience is required. We welcome those who are new to these experiences!

1. What attracts you to exploring the outdoors in an expedition group?

2. What skills do you hope to build or experiences do you hope to have?

3. What qualities, talents, or gifts will you bring to this group?

4. What aspects of the program might be challenging for you? (Nervous about heights? Water? Being away from home? Let us know - We'll figure it out!)

By checking the box below, the applicant understands that final acceptance for participation in the program will be based on three areas:

1. Demonstration of full knowledge and awareness of the program.

2. Demonstration of a willingness to make a full commitment to participate in the program.

3. A clear sense that you will have a successful expedition experience.

I agree:

As a non-profit community organization, the work of fulfilling the mission and vision of CCLC depends on thoughtful contributions of individuals, businesses and foundations. Please consider making a donation to support the ongoing efforts of the Learning Center. Contributions may be given online by Clicking Here or may be mailed to 10 Commissary Point Road; Lubec, ME 04652. Thank You.

© Copyright 2000-2008 the Cobscook Community Learning Center
10 Commissary Point Road, Trescott TWP, ME 04652 (207) 733-2233
Site design by Kevin Thompson 2003
Site related questions or comments? Email Me webmaster@thecclc.org