Breckenridge Outdoor Education Center
Internship Application
ALL applications are subject to final approval by BOEC staff.
Completing this application DOES NOT guarantee you a spot in a program.
Program Interest
Position applying for
Winter Internship (November 1st - April 30th)
Summer Internship (May 15 - September 30th)
Season
Please select...
2023
2024
2025
(select the year of internship start date)
What date are you available to begin working?
Are you applying to this internship to satisfy school credit?
Yes
No
Are you applying to this internship to satisfy NCTRC requirements in the field of therapeutic recreation?
Yes
No
How did you find out about the BOEC internship program?
Applicant Information
First Name
Last Name
Birthdate
Phone
Email
(Primary contact for all BOEC programming)
Height (ft.)
(in.)
Weight (lbs)
Gender
Please select...
Male
Female
Prefer to self identify
Prefer to self identify
Ethnicity
Please select...
Black or African American
Hispanic
Asian
American Indigenous/Native or Alaskan Native
Latin American or Mexican
Native Hawaiian or other Pacific Islander
White
Decline to Identify
Choose to Self Identify
Please self-identify here
Primary Address
City
State/Province
(For international applicants, select "Outside the US)
Zip/Postal Code
Armed Forces
Is the applicant Active Duty Military or a veteran of the US Armed Forces?
Yes
No
Status
Branch
Please select...
Air Force
Army
Coast Guard
Marines
Navy
Space Force
Rank
Years of Active Duty
Separation Date
Does the applicant have combat related injuries?
Yes
No
Date of Onset
Background
Have you been convicted of a felony or a misdemeanor within the past 5 years?
Yes
No
Please explain
Have you been convicted of Reckless Driving, a DUI, DWI, etc... in the past 7 years?
Yes
No
Please explain
Education
College/Trade school attended
Years attended
Area of Study/Degrees achieved
Additional school(s) attended
Years attended
Area of Study/Degrees achieved
Employment History
Employer 1
Place of employment
Start date of employment
End date of employment
Job title
Job responsibilities
Reason for leaving
Name of supervisor
Employer's phone #
May we contact this employer?
Yes
No
Employer 2
Place of employment
Start date of employment
End date of employment
Job title
Job responsibilities
Reason for leaving
Name of supervisor
Employer's phone #
May we contact this employer?
Yes
No
References
Reference 1
Name of Reference
Relation
Reference's phone #
Reference 2
Name of Reference
Relation
Reference's phone #
Skills
Please describe any emergency medical skills you may have, including any certifications you may hold.
Please describe any experience you have working with or assisting individuals with impairments or disabilities.
Please describe any outdoor recreation-based skills you may have, including any certifications you may hold.
Why are you applying for an internship at the BOEC?
Please describe your personality
Winter Internship Supplement (Winter Only)
Have you ever skied or snowboarded before?
Yes
No
I have experience with the following winter sports
Alpine Skiing
Snowboarding
Telemark Skiing
Nordic Skiing
Snowshoeing
Please describe your winter sports experience, including level of expertise
Have you ever taught skiing or snowboarding before?
Yes
No
Please describe, including duration, location, adaptive experience, etc...
Do you hold any AASI/PSIA certifications?
Yes
No
Please describe these certifications
Comments, Questions, or Concerns
Additional comments, questions, or concerns
Contact Information