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• Full name✱
• Email✱
• Phone ✱
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• Current company

SLC Summer Camp Instructor

• Are you available to work Monday-Friday 8am-1pm and/or Noon-5pm June through Mid-August?✱

  • Yes
  • No
• Do you have any vacations planned or things that would take you away from Bouldering Project over the summer?✱
• Tell us about your experience teaching/mentoring youth:✱
• Tell us about your climbing experience:✱
• Anything additional to share?

Demographic Survey for Bouldering Project

We invite you to complete this optional survey to help us evaluate our diversity and inclusion efforts. Submission of the information on this form is strictly voluntary and refusal to provide it will not subject you to any adverse treatment or affect your job application. Information obtained will be kept separate from your name or job application. This information will be kept secure and confidential and will be used solely to evaluate our diversity and inclusion efforts.

• What is your age range?
  • 17 or younger
  • 18-20
  • 21-29
  • 30-39
  • 40-49
  • 50-59
  • 60 or older
• I identify my ethnicity as

  Select all that apply

  • White / Caucasian
  • Hispanic, Latino, or Spanish origin
  • Black or African American
  • Asian
  • Native Hawaiian or other Pacific Islander
  • Indigenous Peoples, First Nations, Native American, or Alaska Native
  • Middle Eastern or North African
  • Some other race, ethnicity, or origin
• What gender do you identify as?
  • Female
  • Male
  • Non-binary