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Updated 12/26/2007
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ACA Atlantic Division Census – 2006Click on the format to download as PDF or Word files. The ACA is an organization in the process of making important changes at the National Level. If you have not visited the new website please take a moment to note ongoing improvements at http://www.americancanoe.org. The Atlantic Division is also taking on new leadership in several committees and has an enhanced commitment to serve members in our area. Both the National and Divisional Offices want to know more about our members. With over 27,000 members Nationally and nearly 2000 in the Atlantic Division this is a formidable task, but one we care deeply about.
Please take a moment and fill out the attached form with as much information about yourself as possible. If there is more than one member in your family, we would like to hear from each member separately along with their type of membership (regular, family, junior, etc). Please tell us what type of boat(s) you paddle (i.e., double canoe, racing kayak, etc.) as well as the make/model and size. We would like to know your paddling, outdoor or first-aid related training and certifications as well as the provider thereof. Check off any and all of the paddling interests that apply whether they are current or not and let us know what types of water you paddle on and paddling goals you may have. We are also interested in your club affiliations within the ACA or similar Organizations and what offices you hold, if any.
On the back of the form please take the time to let us know if you have any interest in participating in or supporting the ACA at the Divisional level. We would also like to know of any changes or improvements you might suggest to make the Atlantic Division more useful and relevant to you and how we might better support your paddling needs. Please feel free to also convey any problems; complaints or suggestions you feel are important.
We are especially interested to hear from instructors. With the high level of commitment the ACA has made to safety and training, they are the lifeblood of our organization and our ambassadors to the paddling public. We intend to improve support for instructors within the Atlantic Division. In order for this to be successful we need to understand the background, activities and needs of instructors in our service area. We are asking Instructors to completely fill out both forms, as different people will compile them.
When complete mail form(s) to:
ACA Atlantic Division C/o Gordon Dayton 37 Jeremy Circle Nesconset, NY 11767
This will only take a few minutes and can have a great impact on goals and trends. We are very interested to see what develops from this census. Certainly we hope to get a better picture of the interests and capabilities of the paddlers and instructors in our region. We hope to share our findings with you in an upcoming issue of our newsletter. Until then, happy paddling!
Thank you, ScottyScott Greifenberger Atlantic Division Chairperson
ACA Atlantic Division Membership Census – 2006 (Please fill out one form per member)
Name: ____________________ ACA # _______ Member type: _______ Expire Date: ________
Address: _______________________City: _________________ State: ___ Zip code: ________
Phones - Home: _________________ Work: __________________ Cell: __________________
E-mail address: ____________________________ Birth Date: ________ Years Paddling: ____
Boats you own and paddle
C#/K#: _____ Make: ________________ Model: __________________ L (ft): ____ W (in): ___
C#/K#: _____ Make: ________________ Model: __________________ L (ft): ____ W (in): ___
C#/K#: _____ Make: ________________ Model: __________________ L (ft): ____ W (in): ___
Skills/Training/Certification
Skill Level: ___ Novice ___ Beginner ___ Intermediate ___ Advanced. Years Paddling: ______
Training have you had: __________________________________________________________
_____________________________________________________________________________
Certifications you hold: __________________________________________________________
_____________________________________________________________________________
Paddling interests
___ Recreational Canoe ___ Recreational Kayaking ___ Conservation ___ Canoe Touring/Camping ___ Kayak Touring/Camping ___ Waterway Access ___ Whitewater Canoe ___ Whitewater Kayaking ___ Instruction* ___ Freestyle Canoe ___ Kayak Polo ___ Rescue Training ___ Canoe Racing ___ Kayak racing ___ Events ___ Canoe Sailing ___ Surf Kayaking ___ Social Paddling ___ Canoe Poling ___ Squirt boat ___ Mystery Boat ___ Canoe/Kayak Livery ___ Guide/Outfitter ___ Retail Sales ___ Other: ________________________________________________________
*Instruction note: We are planning a one week instruction program June 2006 and need to know what paddlers are looking for, please check website for additional information as it becomes available .
Types of water: ___ Flat-water ___ Rivers ___ Bays ___ Whitewater ___ Surf ___ Ocean
What are your paddling goals? ____________________________________________________
ACA Club memberships & office-held: ______________________________________________
_____________________________________________________________________________
Other clubs or organizations: _____________________________________________________
On the back please suggest how you might like to participate in the Atlantic Division, changes you might suggest to improve divisional relevance and effectiveness and any other improvements you may suggest. ACA Atlantic Division Instructor Questionnaire (Please fill out only if you are or will shortly become and instructor)
Name: ____________________ ACA # _______ Member type: _______ Expire Date: ________
Address: _______________________City: _________________ State: ___ Zip code: ________
Phones - Home: _________________ Work: __________________ Cell: __________________
E-mail address: ____________________________ Birth Date: ________ Years Paddling: ____
Instructor Certifications (more on back)
Org. Paddling Discipline Level Started Expires
_____ _____________________________________ _____ ___________ ____________
_____ _____________________________________ _____ ___________ ____________
_____ _____________________________________ _____ ___________ ____________
Classes Taught (more on back)
Class Title/Description Dur. (Hr) Class/yr Stud/yr
__________________________________________________ _______ _______ _______
__________________________________________________ _______ _______ _______
__________________________________________________ _______ _______ _______
__________________________________________________ _______ _______ _______
What percent of time is spent teaching for yourself: ____ orgs: _____ volunteer teaching: _____
Division Involvement Questions Y N
Would you be willing to travel in order to teach in an instructional event? __ __ Are you interested in advancing your ACA instructor rating within your discipline? __ __ Are you interested in learning and certifying in other disciplines? __ __ Would you be willing to teach in Division Organized training events? __ __ Would you be willing to help out during a Division Organized training event? __ __ Would you be willing to sponsor, promote and organize a Division training event? __ __
What other types of Division support would you like to see offered? ________________________
_____________________________________________________________________________
On the back please take a moment to describe yourself, your training philosophy and provide any other comments you wish to make to improve Atlantic Division SEI programs and activities.
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