Application for Bike Coleader Status

NOTE: This form is for requesting coleader status. If you are already a coleader and wish to become a leader, fill out THIS FORM

To become a coleader in the AMC Boston Chapter Bicycle Committee, first read this document, then fill out the form below and press the button at the bottom of the form to submit it to the Chair(s) of the Boston Chapter Bicycle Committee.

Name:
AMC Membership Number:
Email address: Phone:
Bicycle Trip Leadership Experience
Have you led/co-led bicycle trips with the AMC Boston Chapter? Yes No
Trip Leadership Training
Have you taken the Boston Chapter Leadership Training Program? Yes No

Other Equivalent Training:

Other Trip Leadership Experience
Have you led/co-led trips with other AMC committees? Yes No
Other Qualifications
List other experience relevant to being a coleader:
Comments:

When form is complete, press this button to submit this information to the Chair/Co-chair of the Boston Chapter Bicycle Committee:



For questions or comments about the content of this site please contact