Accreditation Questionnaire

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Organization Information

Information for Invoicing Contact

Person responsible for invoices, if different from Primary Contact previously provided.

Profile of Participants

Please check the box beside each category that describes the organization’s participant demographics. (Check all that apply.)*
     

Adventure Activities

Please check the box beside each adventure activity the organization provides or expects to provide within the accreditation period, and wishes to be considered for accreditation.*
Note that accreditation will only be valid for the program activities selected below, unless an amendment is made and mutually agreed upon by the applicant and Viristar. (Check all that apply.)
Note that accreditation will only be valid for the program locations selected below, unless an amendment is made and mutually agreed upon by the applicant and Viristar.

Accreditation Certificate

Viristar normally places the organization’s logo on the Certificate of Accreditation to help interested parties clearly identify the accredited organization. Viristar requests your permission to use the organizational logo for this purpose.*

Verification

By signing here, I affirm and agree that:
  1. The information provided here is true and correct.
  2. I understand that accreditation will be granted only for the activities and activity locations listed above, unless an amendment is made and mutually agreed upon by the applicant and Viristar.
A copy of your questionnaire responses will be emailed to you.
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