Outdoor Education & Leadership Emphasis Application General InformationName * Required First Last NAU (7-digit) student ID * Required 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)PRM 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 abovePersonal philosophy and goalsPlease describe your personal philosophy of Outdoor Leadership: * RequiredPlease describe what you feel the most important lesson(s) you learned during PRM 331: * RequiredFive immediate personal goals for the OEL block:Goal 1 * RequiredGoal 2 * RequiredGoal 3 * RequiredGoal 4 * RequiredGoal 5 * RequiredPlease describe how the OEL Block may influence your long term career goals or ambitions: * RequiredOutdoor 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 * RequiredExperience 2Experience 3Experience 4Experience 5Work 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 * RequiredWork experience 2Work experience 3Work experience 4Work experience 5CAPTCHAEmailThis field is for validation purposes and should be left unchanged.