Application

Fill in the form to complete the Youth Gardening Program application process.

APPLICANT INFORMATION

Email: Phone:

First Name: M.I.: Last Name:

Address: City: State: Zip:

EDUCATION

High School: Address:
List three major courses of study interest: (1) (2) (3)

There are three basic types of learning styles. The three most common are visual, auditory, and kinesthetic. To learn, we depend on our senses to process the information around us. Most people tend to use one of their senses more than the others. Rate each on a scale of 1-10, with 10 meaning easy and 1 meaning difficult.

Visual – Seeing/Video:  1 2 3 4 5 6 7 8 9 10
Auditory - Hearing:  1 2 3 4 5 6 7 8 9 10
Kinesthetic - Hands on: 1 2 3 4 5 6 7 8 9 10

Describe a situation where you felt most comfortable learning. What style did you use?

REFERENCES
Please list three professional references.
Reference #1
Name: Relationship:
Company: Phone:
Address:

Reference #2
Name: Relationship:
Company: Phone:
Address:

Reference #3
Name: Relationship:
Company: Phone:
Address:

PREVIOUS EMPLOYMENT
Employer #1
Company: Phone:
Address: Supervisor:
Job Title: Starting Salary: Ending Salary:
Responsibilities:
From: To: Reason for leaving:
May we contact this employer for a reference?  Yes No

Employer #2
Company: Phone:
Address: Supervisor:
Job Title: Starting Salary: Ending Salary:
Responsibilities:
From: To: Reason for leaving:
May we contact this employer for a reference?  Yes No

In the space below explain why you are interested in being a member of the Green Team by checking all that apply.
 I love working outside
 It is important for me to do meaningful work that positively impacts my community
 I am interested in learning more about gardening/plant science
 I care deeply about the environment and look for ways to do more to preserve it.
 I want to learn to grow my own food.
 I think my family could benefit from more healthy fruits and vegetables.
 I enjoy being part of a team and learning leadership skills.
 I am interested in farming and gardening.

Use this space below to include your own thoughts.

DISCLAIMER AND ACCEPTANCE

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my release.
 By checking this box, I certify that I agree to these terms.