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Forms & Questionnaires

Forms and Questionnaires

When students first apply for course, they are taken through a brief questionnaire called the Prescreen Questionnaire.  This questionnaire helps us determine the appropriate forms to send you in addition to our standard Welcome Packet.  The Welcome Packet includes an Enrollment Forms Packet, a Policies Packet, and Information for Your Course.  You will also receive Course Information documents which include a Course Description, Travel Information and a Clothing and Gear List.  In addition to the standard Welcome Packet and the Course Information documents we will send any Supplemental Questionnaires that identified as pertinent during the Prescreen Questionnaire. 

For your convenience we have provided links to all available Supplemental Questionnaires below.  These are only required if they have been assigned to you in the email with all of your Welcome Packet materials.  The Participant Forms must be filled out by the applicant (or their parent), but the Physician/Counselor Forms require information from a third party, usually a medical or mental health professional.

All of the Participant Forms can be filled out electronically by typing in the gray shaded areas and attached by e-mail. You must save the data and then attach the form(s) to e-mail.  You may also print the form, write out all of the answers to the questions and fax (see below) the form to the Assessment Department at Outward Bound Wilderness.

If any Physician/Counselor forms are needed, they must be filled out completely by the participants’ physician, counselor or other third party reference.  All of these forms must be printed, filled out completely, signed, dated and returned to the Student Assessment Department at Outward Bound Wilderness by fax.

If you have any questions, please e-mail Jeff Bowles. Fax all forms to 1-866-728-0718.

*Note: For the Asthma, Counseling, Diabetes, and Seizure forms there are both a participant and a physician form. In most cases, both of these forms will need to be filled out and sent back to Outward Bound Wilderness. If you have questions about whether this applies to you, please e-mail Jeff Bowles.

Participant Forms                          

Physician/Counselor Forms

Asthma Questionnaire - Participant Form *                           Asthma Action Plan - Physician Form*
Bedwetting Questionnaire                           Allergy Questionnaire
Dietary Questionnaire                           Medication Questionnaire
Diabetes Questionnaire - Participant Form *                           Diabetes Questionnaire - Physician Section*
Eating Disorder Questionnaire                           Reference Questionnaire
Counseling Questionnaire - Participant Form *                           Counseling Questionnaire*
Hearing Loss Questionnaire                           Physician's Exam
Motivation Questionnaire                           Probation Questionnaire
Seizure Questionnaire - Participant Form*                           Seizure Questionnaire - Physician Form *
Orthopedic Questionnaire                            
Self-Harm Questionnaire                            
Substance Use Questionnaire                            
Stress Test Letter                          
Friends Waiver                          

 

TOLL-FREE: 866-467-7651
 
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