Tilth Alliance Sustainable Farming Education Program (SFEP) Application for Admission 2018 Program
|
|
- Sylvia Townsend
- 6 years ago
- Views:
Transcription
1 Tilth Alliance Sustainable Farming Education Program (SFEP) Application for Admission 2018 Program Applications are accepted on a rolling basis. The following items are required to complete the application: Completed Application Form Two References Three Personal Essays Signed Declaration
2 About the Sustainable Farming Education Program (SFEP) The Sustainable Farming Eductaion Program (SFEP) is an education and farm business program for aspiring farmers in the Seattle-Tacoma region. Participants gain hands-on experience growing and harvesting food using sustainable practices, receive business training, and tour neighboring farm operations. Through SFEP, participants are empowered and expected to create farm business plans to ensure their success as small farm business operators. Graduates will also continue to receive support related to land access and marketing in addition to opportunities for continuing education. This program is supported in part by funding from the USDA's Beginning Farmer and Rancher Development Program (BFRDP). BFRDP provides new and aspiring farmers and ranchers access to education, information, and assets they need to be successful. *Note for our 2018 Season Tilth Alliance is ending our lease at Red Barn Ranch in Auburn, the site that has hosted this programming since its inception. While we will no longer farm on this site, the program, will continue to provide farming education and business support to beginning farmers in the Seattle-Tacoma region. The tentative schedule for the 2018 Sustainable Farming Education Program is: 9 month program: February October o February-May: Classes one weekday evening each week o June-October:! Farm Visits/Work Days 2 Saturdays/month: 9-3 pm! Class one weekday evening/month, 6:00-8:30 pm More information will be available during individual interviews that will take place within two weeks of receiving applications. Sustainable Farming Education Program 2018 Application Page 1
3 Application for Admission Sustainable Farming Eductaion Program PERSONAL INFORMATION Name: Date of Birth: Permanent Address: (Street) (City) (State) (Zip) Phone Number(s): Address: How did you hear about this program? Have you had any criminal convictions (excluding minor traffic violations)? If so, please explain: DISABILITY or MEDICAL CONDITION Please describe any disability or medical condition you have and indicate any adaptations or specific support/facilities you may need: Please describe any personal or religious considerations you would like us to know about: (this includes translation assistance, dietary restrictions, religious holidays and/or social customs) Sustainable Farming Education Program 2018 Application Page 2
4 REFERENCES Please provide contact information for someone willing to provide a personal reference and another person willing to provide a professional reference. Referees should be able to speak specifically to your ability for self-direction and any experience you may have in the classroom, in business, or on the farm. Personal Reference: Name: Phone: ( ) Relationship to Applicant: Professional Reference: Name: Title: Phone: ( ) EXPERIENCE 1. Please describe your educational background including schools and trainings you have attended. 2. Please describe any relevant work, volunteer, or farm experience. Sustainable Farming Education Program 2018 Application Page 3
5 PERSONAL ESSAYS Please consider your response carefully and limit your response for each question to 400 words. If you need more space, please feel free to attach separate sheets of paper. 1. Managing a farm requires a great deal of time, hard work and patience. How are you prepared to succeed in this program? What personal and professional goals will this program help you achieve? 2. Operating a farm is full of surprises. Do you have experience running a business? What challenges do you anticipate encountering while running your farm business? How will you work to overcome those challenges? 3. It takes time for any business to become profitable. It is critical that participants have additional means of support. If you are accepted into the program, what kind of personal and financial support systems will you have in place? Sustainable Farming Education Program 2018 Application Page 4
6 SKILLS ASSESSMENT Please complete the skills assessment below. Indicate both level of experience and level of interest. Planting Experienced Some Experience None Interested Some Interest Not Interested Crop Selection Weed / Pest Management Harvesting Produce packing Organic Practices / Certification Tractor Operation/Mainten ance Irrigation Animal Husbandry Product/Produce Marketing/Sales Record Keeping Business Planning Accounting Sustainable Farming Education Program 2018 Application Page 5
7 DECLARATION In applying for participation in the 2018 Sustainable Farming Education Program, I confirm that the information I have provided in this application is accurate and complete. I also understand that I am electing to participate in this program at my own risk. I acknowledge there are certain risks inherent in farm work, including, but not limited to, physical injury and death. I acknowledge that all risks cannot be prevented and I assume responsibility for those beyond the control of Tilth Alliance staff. I represent that I am physically able, with or without accommodation, to participate in all aspects of this program, and, if necessary that I am able to use the equipment and/or supplies required in programmatic work. Should I require emergency medical treatment as a result of accident or illness arising during the program, I consent to such treatment. I acknowledge that Tilth Alliance does not provide health and accident insurance for its participants and I agree to be financially responsible for any medical bills incurred as a result of emergency medical treatment. I also understand Tilth Alliance may film, photograph and interview participants during the course of the program. I understand that all video, photographic, audio, written and other materials produced by Tilth Alliance will be the sole property of Tilth Alliance and may be made available by Tilth Alliance to third parties on its website, in its publications or through other media, as it may determine. I understand that Tilth Alliance will protect my personal information as required by applicable law. Tilth Alliance prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, sex, marital status, familial status, parental status, religion, sexual orientation, political beliefs, or because all or part of an individual's income is derived from any public assistance program. Applicant s Printed Name: Applicant s Signature: Date: Sustainable Farming Education Program 2018 Application Page 6
8 NEXT STEPS Please your completed application to or mail it to: Tilth Alliance Attn: Rachel Schindler SE Lake Moneysmith Rd Auburn, WA If you are interested in touring the farm to get a better feel for the program, or speaking with current participants, please contact Rachel Schindler. Candidates who are recommended for advancement will be interviewed by Tilth Alliance staff. If accepted, candidates will be invited to attend a 2018 Seattle Tilth Farm Works orientation where they will receive more in-depth program information. Sustainable Farming Education Program 2018 Application Page 7
North Carolina Extension Master Gardener Volunteer Application Guilford County
North Carolina Extension Master Gardener Volunteer Application Guilford County Please return all seven (7) pages of the completed Application to: 3309 Burlington Rd, Greensboro, NC 27405 GENERAL INFORMATION
More informationLast Name: First Name: Middle Name: Street Address: City: State: Zip Code: Home Phone: Work Phone: Cell Phone: May We Call You at Work?
City of Walker 205 Minnesota Avenue West PO Box 207 Walker MN 56484 218-547-5501 Employment application We welcome you as an applicant to employment! The City of Walker is an equal opportunity employer
More informationPERSONNEL SERVICES Form 4120 APPLICATION FOR A CERTIFICATED POSITION
PERSONNEL SERVICES Form 4120 Employment Employment Application - Certificated Staff APPLICATION FOR A CERTIFICATED POSITION The School District considers applicants for all positions without regard to
More informationLast Name First Middle Initial Maiden Name (if applicable)
Application For Sheriff Deputy Employment PLEASE PRINT IN INK OR TYPE Marinette County Human Resources 1926 Hall Avenue Marinette, WI 54143-1717 Marinette County is an equal opportunity employer. All hiring,
More informationCITY OF GLENDALE APPLICATION FOR POLICE OFFICER CHECK LIST
CITY OF GLENDALE APPLICATION FOR POLICE OFFICER CHECK LIST Be a U.S. Citizen. To apply you must: Have never been convicted of a felony (unless pardoned) Ability to lawfully possess a firearm Prior to appointment
More informationOHIO STATE UNIVERSITY EXTENSION
OHIO STATE UNIVERSITY EXTENSION About Kinsman Farm The Kinsman Farm is a cooperatively managed urban farm where new farmers can begin their agricultural businesses to grow food and develop farm products
More informationStrengthen You and Your Community: Volunteer Today!
Mason County SAFER Grant Program P.O. Box 277 * NE 460 Old Belfair Hwy * Belfair, WA 98528 (360)275-6711 ext. 7 * (360)801-0590 Fax: (360)275-6224 Email: Volunteer Coordinator Tina Miller at tmiller@northmasonrfa.com
More information2018/2019 Application
SMALL-SCALE FARM GRANT Enhancing agricultural opportunities for small scale farms 2018/2019 Application Providing assistance and development in aquaculture and aquaponics, value-added products, certified
More informationLast Name First Name M.I. Name You Prefer. City State Zip Address. Daytime Phone Evening Phone Best Time to Call. City State If yes, where?
GENERAL INFORMATION Last Name First Name M.I. Name You Prefer Mailing Address How long at this address? City State Zip County If less than a year, previous address How long have you resided in the county?
More informationThe completed application form and two recommendations must be postmarked or delivered by the application deadline, February 26, 2016.
Discovery Corps is a program that puts high school aged youth on the front lines of Pacific Science Center s mission to inspire lifelong interest in science. Motivated youth will delve into Pacific Science
More informationSusan Busler & Judi Peters Polk County 4-H Youth Development
E XTENSION SERVICE P OLK COUNTY March 24, 2017 To: Prospective 4-H Volunteers Re: New Volunteer Orientation Welcome to the wonderful world of 4-H! We re so pleased that you are joining - or are thinking
More informationVOLUNTEER APPLICATION
Thank you for your interest in Estes Park Medical Center. The mission of the Estes Park Medical Center is to make a positive difference in the health and wellbeing of all we serve. VOLUNTEER APPLICATION
More informationPeoria Heights Fire Department. Membership Application Packet
Peoria Heights Fire Department Membership Application Packet Please turn in all completed applications in a sealed envelope to the Village Administration office during normal business hours, or mail to
More informationTWUMC APPLICATION FOR EMPLOYMENT PRE-EMPLOYMENT QUESTIONAIRE All questions must be answered completely with or without a resume.
TWUMC APPLICATION FOR EMPLOYMENT PRE-EMPLOYMENT QUESTIONAIRE All questions must be answered completely with or without a resume. Applicant Information Position Applied For: Are you employed now? Yes (
More informationCity of Tomah Tomah Area Ambulance Service Employment Application
City of Tomah Tomah Area Ambulance Service Employment Application EMT Advanced EMT Paramedic Check Licensure Level Please complete this application if you wish to apply for employment with the City of
More informationCOMPEER PROGRAM VOLUNTEER APPLICATION
Spreading Hope, Spurring Action, Supporting Families, Saving Lives! COMPEER PROGRAM VOLUNTEER APPLICATION 3701 Latrobe Drive, Suite 140 Charlotte, NC 28211 Phone 704.365.3454 Fax 704.365.9973 Revised 7/13/2017
More informationEMPLOYMENT APPLICATION
EMPLOYMENT APPLICATION Page 1 of 3 This Employment Application will remain active for one year from the date of completion APPLICANT INFORMATION Last Name First M.I. Date Street Apartment/Unit # City State
More informationCommunity Emergency Response Team (CERT) Volunteer Application Douglas County Citizen Corps Council Douglas County Sheriff s Office
Community Emergency Response Team (CERT) Volunteer Application Douglas County Citizen Corps Council Douglas County Sheriff s Office PLEASE TYPE OR PRINT FULLY ANSWER ALL QUESTIONS USE INK ONLY An Incomplete
More informationOSU Extension 4 H Volunteer Application Revised
OSU Extension 4 H Volunteer Application Revised 7.31.17 Adults or teens should complete and submit this 2 page application if they are interested in (a) teaching, coaching, advising or chaperoning youth
More informationDiocese of San Jose Personnel Department School Year. Dear Teacher Applicant:
Diocese of San Jose Personnel Department 1999-2000 School Year Dear Teacher Applicant: Thank you for expressing interest in employment with the Diocese of San Jose. We want to be able to give the principals
More informationVOLUNTEER APPLICATION
VOLUNTEER APPLICATION Dear Applicant: Thank you for your interest in the Volunteer Program at the Kaiser Permanente Antelope Valley Medical Offices. We welcome interested and enthusiastic people of all
More informationAPPLICATION. Name (Last, First, MI): Address: City, State, & Zip Code: Home Telephone: Cell Telephone: Date of Birth: / /
Girls in Engineering Academy (GEA) July 10 August 4, 2017 APPLICATION A Summer Pre-Engineering Program for Middle School Girls Please print or type all information. Additional sheets may be attached if
More informationFRED G ZAHN SCHOLARSHIP FUND
FRED G ZAHN SCHOLARSHIP FUND Summary/Objective of Scholarship Graduates from high schools located in the State of Washington, for either sex, without discrimination as to race, color or creed, who by their
More informationNorth Carolina Extension Master Gardener Volunteer Application Caldwell County
North Carolina Extension Master Gardener Volunteer Application Caldwell County Please return all five (5) pages of the completed Application and payment to: Caldwell CES 120 Hospital Ave, NE Suite 1 Lenoir
More informationNON-TEACHING APPLICATION
WA-NEE COMMUNITY SCHOOLS 1300 North Main Street Nappanee, IN 46550-1015 For Office Use Only Interview (date & time) Reference Check Expanded Criminal Background Check Drug Test Sexual Offender Check CPS
More informationAn Overview of USDA-NRCS Programs Regional Conservation Partnership Program Statewide Priorities
An Overview of USDA-NRCS Programs Regional Conservation Partnership Program Statewide Priorities Texas Watershed Coordinators Roundtable Waco, Texas July 31, 2014 ACEP ALE Agricultural Act of 2014 Conservation
More informationApplication for Admission
Dear Applicant, Application for Admission WELCOME Thank you for your interest in Year Up Professional Training Corps Philadelphia! Please read the following pages for important information about our application
More informationWhat are the benefits of being a summer camp program staff member at Holiday Lake 4-H Educational Center? Weekly salary (Starting at $215 for 1st
1 Dear Potential Staff Member: Thank you for your interest in employment with Holiday Lake 4-H Educational Center. The 4-H Center, which sits on 174 acres inside the Appomattox/Buckingham State Forest,
More informationDOUGLAS COUNTY SHERIFF
KEVIN W. MORRIS SHERIFF STEVE GROSECLOSE CHIEF CRIMINAL DEPUTY KELLY A. SOLTWISCH CHIEF CIVIL DEPUTY DOUGLAS COUNTY SH ERIF F'S OFFICE DOUGLAS COUNTY SHERIFF Main Offices / Administration 110 2 nd Street
More informationSouth Gwinnett Athletic Association Volunteer Football Coach Application Form
South Gwinnett Athletic Association Volunteer Football Coach Application Form SGAA Football Coaches Mission It is the purpose of the South Gwinnett Athletic Association (SGAA) to encourage the healthy
More informationPowell Research and Extension Center PREC STRATEGIC PLAN
Powell Research and Extension Center PREC STRATEGIC PLAN 2013 Table of Contents I. MISSION... 3 PREAMBLE... 3 II. STRATEGIC GOALS... 3 III. TACTICAL OBJECTIVES... 3 TACTICAL OBJECTIVE 1... 4 TACTICAL OBJECTIVE
More informationThe Marion County Sheriff s Office
The Marion County Sheriff s Office Application Position: (Circle all that apply) Deputy Sheriff Dispatcher Auxiliary Deputy Other Part time Full Time MARION COUNTY SHERIFF S OFFICE EMPLOYMENT OR AUXILIARY
More informationCamp George Thomas Last Frontier Council Application for Employment - Seasonal Camp Staff An Equal Opportunity Employer
Camp George Thomas Last Frontier Council Application for Employment - Seasonal Camp Staff An Equal Opportunity Employer The Last Frontier Council, Boy Scouts of America, is an equal opportunity employer.
More informationBID SHSGA CACFP CONTRACT #03309 FY2015 ADVERTISEMENT FOR FOOD PROCUREMENT FOR KIDS CAFÉ PROGRAM
BID SHSGA CACFP CONTRACT #03309 FY2015 ADVERTISEMENT FOR FOOD PROCUREMENT FOR KIDS CAFÉ PROGRAM Second Harvest of South Georgia, Inc. ( SHSGA ) is accepting Sealed Bids from qualified food vendors for
More informationCenter for Sustainability of Farms and Families
College of Agriculture, Food Science, and Sustainable Systems Small Scale Farm Grant Program Application Center for Sustainability of Farms and Families Providing assistance and development in Aquaculture
More informationThe Family Crisis Center of East Texas, Inc. (Women s Shelter of East Texas)
The Family Crisis Center of East Texas, Inc. (Women s Shelter of East Texas) Volunteer/ Advocate Application (Including Interns and Work Study) Please check one: (See Volunteer Categories for details)
More informationPlease print clearly as you fill out the application. Social Security #: Are you known by other names while previously employed?
San Xavier District Tohono O'odham Nation Please print clearly as you fill out the application. Human Resources Office Only Date Received: Title of Position Desired: How did you learn about this vacancy:
More informationVolunteer Application
Volunteer Application VOLUNTEER INTEREST (Please Write Legibly) Mounted Patrol Reserve Deputy Water Recovery Unit Chaplain Corps Explorer Post Jail Programs APPLICANT INFORMATION Last Name First M.I. Date
More informationEmployment is contingent upon completing a six (6) month probationary period.
Date All information on this application should be printed or typed. Complete or answer all questions. Incomplete applications may not be considered. Return completed application to: Chesapeake Bay Bridge
More informationRotary Club of Bristol
Rotary Club of Bristol Scholarship Application The Rotary Club of Bristol Scholarship Fund offers partial scholarships to students planning to attend Bucks County Community College. Eligibility Requirements:
More informationSmall Farms/ School Meals Initiative
United States Department of Agriculture Food and Nutrition Service Small Farms/ School Meals Initiative Town Hall Meetings A Step-by-Step Guide on How to Bring Small Farms and Local Schools Together The
More informationAlbany County Bar Foundation Domestic Violence Grant Application 2019
Albany County Bar Foundation Domestic Violence Grant Application 2019 INTRODUCTION For well over a decade, the Albany County Bar Foundation (ACBF) has raised funds, through its annual Law Day Run Against
More informationApplication for Farm Aid Disaster Relief Assistance
Application for Farm Aid Disaster Relief Assistance To Please Read Before Completing Survey: Please read the application guidelines below and then complete the following application. Be thorough but concise
More informationMOUNT CARMEL ACADEMY SCHOOL GUIDANCE COUNSELOR APPLICATION
MOUNT CARMEL ACADEMY SCHOOL GUIDANCE COUNSELOR APPLICATION Mount Carmel Academy is an Equal Opportunity Employer and does not discriminate against applicants or employees by reason of race, age, sex, handicap,
More informationThe Dr. T. Ray Ruffin Scholarship
Dr. T. Ray Ruffin Scholarship Application Page 1 The Dr. T. Ray Ruffin Scholarship Presented and awarded in partnership with Everlasting Life Christian Church 2017 SCHOLARSHIP APPLICATION AND INSTRUCTIONS
More informationIndependent School District No Browns Valley Public Schools. Application Form
Independent School District No. 801 Browns Valley Public Schools Application Form 1. EQUAL EMPLOYMENT OPPORTUNITY It is the policy of Independent School District No. 801 to provide equal employment opportunity
More informationCHRISTIAN COUNTY SHERIFF S OFFICE CORRECTIONAL CENTER * CENTER 301 W. FRANKLIN STREET P. O. BOX 678 TAYLORVILLE, IL 62568
CHRISTIAN COUNTY SHERIFF S OFFICE CORRECTIONAL CENTER * 9-1-1 CENTER 301 W. FRANKLIN STREET P. O. BOX 678 TAYLORVILLE, IL 62568 SHERIFF BRUCE KETTELKAMP PHONE (217) 824-4961 CHIEF DEPUTY FAX (217) 824-4963
More informationMEMORANDUM OF UNDERSTANDING Between The MULE DEER FOUNDATION And The USDA, FOREST SERVICE SERVICE-WIDE
FS Agreement No. Cooperator Agreement No. 14-SU-11132422-157 MEMORANDUM OF UNDERSTANDING Between The MULE DEER FOUNDATION And The USDA, FOREST SERVICE SERVICE-WIDE This MEMORANDUM OF UNDERSTANDING (MOU)
More informationNorth Tooele Fire District ESTABLISHED 1987
North Tooele Fire District ESTABLISHED 1987 APPLICATION FOR VOLUNTEER MEMBERSHIP You must be eighteen (18) years of age AND a resident of North Tooele Fire District (in the communities of Stansbury Park,
More informationCherokee County Fire & Emergency Services
Cherokee County Fire & Emergency Services Application for the Position of: VOLUNTEER SERVICE REV.9/2010 CHEROKEE COUNTY FIRE & EMERGENCY SERVICES 150 Chattin Drive, Canton, GA 30115 678-493-4000 (phone)
More informationWomen in Wildland Fire Bootcamp
U.S. Forest Service Southwestern Region Fire and Aviation Management OUTREACH NOTICE Women in Wildland Fire Bootcamp Response Deadline for AZ & NM: February 8, 2013 Selected NM applicants will be notified
More informationRequest for Proposal (RFP) Specialty Crop Block Grant Program Farm Bill (SCBGP-FB) Funding Opportunity Number: USDA-AMS-TM-SCBGP-G
Request for Proposal (RFP) Specialty Crop Block Grant Program Farm Bill (SCBGP-FB) Website: www.ams.usda.gov/scbgp Funding Opportunity Number: USDA-AMS-TM-SCBGP-G-16-0003 Fiscal Year 2017 CFDA Number 10.170
More informationEMPLOYMENT PROCEDURES FOR PARAPROFESSIONAL STAFF
EMPLOYMENT PROCEDURES FOR PARAPROFESSIONAL STAFF PHASE I 1. Secure application form in person, mail, telephone, or website (www.pittsville.k12.wi.us). 2. Return the completed application form with a copy
More informationSearch and Rescue Unit Volunteer Application
Umatilla County Sheriff s Office 4700 NW Pioneer Place Pendleton, OR 97801 (541) 966-3650 Search and Rescue Unit Volunteer Application so others may live. The Umatilla County Sheriff s Office Search and
More informationCome Join the Atlanta Area Council Summer Camp Team!
Come Join the Atlanta Area Council Summer Camp Team! Robert W. Woodruff Scout Reservation Blairsville, Georgia 2014 SEASONAL CAMP STAFF EMPLOYMENT APPLICATION (Counselor In Training (CIT) Candidates should
More informationVERMONT JUDICIAL BRANCH EMPLOYMENT APPLICATION
VERMONT JUDICIAL BRANCH EMPLOYMENT APPLICATION Part A Position applying for: Job Location: Please read the instructions below before completing this application Job Number: Name: First, Middle, Last, Suffix
More informationSign and return included forms. (Background Check Form, Authorization to Release Information Form, and Vehicle Use Agreement)
To: Employees with Conditional Offers of Employment Re: Background Checks All offers of employment or participation in any activity involving minors in a University sponsored program with The University
More informationPIONEER PLACE MEMORY HAVEN
PIONEER PLACE MEMORY HAVEN Pioneer Place Memory Haven is committed to CARE and HEART: Compassion And Respect Everyday Honesty Engage Attitude Residents Teamwork Pioneer Place Memory Haven (PPMH) has certain
More informationOur EEOP Report is available on request in the JPSO Human Resources Office.
The Jefferson Parish Sheriff s Office requires that you complete this form completely and accurately. Among other things, this form is used to fulfill our obligations to the citizens of Jefferson Parish
More informationRENTAL APPLICATION. Get Involved
RENTAL APPLICATION Get Involved To be completed by a potential resident. Please complete this rental application by typing or printing in ink. INCOMPLETE or UNSIGNED applications will not be considered.
More informationVERMILLION COUNTY SHERIFF'S OFFICE
VERMILLION COUNTY SHERIFF'S OFFICE Michael R. Phelps - Sheriff 1888 S State Rd 63 - P.O. Box 130 Newport, IN 47966 (765) 492-3737 / 492-3838 (Fax) 492-5011 sheriff@vcsheriff.com Employment applications
More informationCOPPIN STATE UNIVERSITY Volunteer Acknowledgement
Volunteer Acknowledgement General Release From Liability In consideration of my participation in the Coppin State University Volunteer Program, I do hereby release, and forever hold harmless, Coppin State
More information2017 SEASONAL CAMP STAFF APPLICATION
2017 SEASONAL CAMP STAFF APPLICATION Set high on the Cumberland Plateau, Skymont Scout Reservation hosts over 1800 Scouts each summer. Opportunities to serve Scouting as a member of a seasonal camp staff
More informationRegistering as a dentist with the General Dental Council (EU/EEA/Switzerland)
www.gdc-uk.org Registering as a dentist with the General Dental Council Application Form This application form, accompanying documents and registration fee should be posted to: Registration Team (New Registrations)
More informationStandards of conduct, ethics and performance
Standards of conduct, ethics and performance September 2010 The General Pharmaceutical Council is the regulator for pharmacists, pharmacy technicians and registered pharmacy premises in England, Scotland
More informationBIOGEN FOUNDATION. This program will be available to all current Biogen U.S. employees and members of the Board of Directors.
BIOGEN FOUNDATION U.S. EMPLOYEE MATCHING GIFTS PROGRAM GUIDELINES WHAT IS THE U.S. EMPLOYEE MATCHING GIFTS PROGRAM? The Biogen Foundation (the Foundation ) U.S. Employee Matching Gifts Program is part
More informationRotary Club of Milwaukee 2015 Scholarship Application
Rotary Club of Milwaukee Scholarships are awarded to Milwaukee Area students during their senior year of High School or during college. Applications are to be submitted to the RCM scholarship committee
More informationVOLUNTEER APPLICATION
Page1 VOLUNTEER APPLICATION Name: Date: Address: City: State: Zip: Phone: Home; Work; Cell (Circle) DOB: E-mail: (My communication with you will be via email, please make sure I can read this email thank
More informationAPPLICATION FOR EMPLOYMENT Wallace Community College Selma
Additional infromation Secondary and Postsecondary Education Personal Information Position Information Alabama Community System Application No. APPLICATION FOR EMPLOYMENT Wallace Community Selma Title
More informationSummer Program Staff Application Packet Southwest Virginia 4-H Educational Center, Inc.
Summer Program Staff Application Packet Southwest Virginia 4-H Educational Center, Inc. 25236 Hillman Hwy Abingdon, VA 24210 Office: (276) 676-6180 Fax: (276) 676-6188 Dear Potential Staff Member: Thank
More informationCome Join the Atlanta Area Council Camp Staff Team!
Come Join the Atlanta Area Council Camp Staff Team! Bert Adams Scout Camp Covington, Georgia 2016-2017 SEASONAL FALL/WINTER/SPRING CAMP STAFF APPLICATION The Atlanta Area Council, Boy Scouts of America
More informationPlease complete this application by pen (print) or typewriter in its entirety. PERSONAL INFORMATION. First MI Last. Street City State Zip
Qualified applicants are considered for all positions without regard to race, color, religion, gender, national origin, age, covered veteran's status, marital status, or the presence of a non-job-related
More informationINTERNATIONAL SCHOOL OF MIDWIFERY, INC. 140 NE 119 Street Miami, Florida (305) Fax (305)
INTERNATIONAL SCHOOL OF MIDWIFERY, INC. 140 NE 119 Street Miami, Florida 33161 (305) 754-2354 Fax (305) 754-2212 APPLICATION PROCESS THREE YEAR MIDWIFERY PROGRAM Application Deadline For FALL 2014, July
More information2019 PROGRAM OUTLINE NOVEMBER 2018 MAY 2019
SOUTH CAROLINA NEW & BEGINNING FARMER PROGRAM 2019 PROGRAM OUTLINE NOVEMBER 2018 MAY 2019 THIS OUTLINE SHOULD BE REVIEWED COMPLETELY AND CAREFULLY BEFORE APPLYING FOR THE 2018-2019 PROGRAM OR BEFORE MAKING
More informationApplication for Employment. Page 1 07/18
Application for Employment Page 1 Dear Applicant, Thank you for expressing interest in the Washington State University Cougar Security Program. The following outline should help you understand the program,
More information2018 CAMP Registration Packet. Boyertown YMCA PHILADELPHIA FREEDOM VALLEY YMCA
2018 CAMP Registration Packet Boyertown YMCA PHILADELPHIA FREEDOM VALLEY YMCA 1 Camp Registration Procedures 1. The entire camp registration packet minus the (optional) Request for Modification and Diabetes
More information2018 Call for Preproposals NCR-SARE Research and Education Grant Program Make sure that you have the 2018 Call for Preproposals. To submit, go to: http://www.ciids.org/ncsare/repre Preproposals must be
More informationCarlisle Police Department Employment Application
Employment Application POLICE OFFICER APPLICATION Carlisle Police Department 195 N. First Street Carlisle, IA 50047 (515)-989-4121 CARLISLE POLICE DEPARTMENT Instruction for Applicants **Please do Not
More informationProfessional Development Program
NAME/Last, First, Middle: Semester and Year Applying: Date: Professional Development Program Student Application Overlook Medical Center Department of Human Resources 99 Beauvoir Avenue Summit, New Jersey
More informationNORTH CAROLINA 4-H VOLUNTEER APPLICATION
NORTH CAROLINA 4-H VOLUNTEER APPLICATION PERSONAL INFORMATION First Name: Middle Name: Last Name: Suffix: Preferred Name: Mailing Address: Mailing Address 2: City: State: Zip: Gender: Male Years in 4-H:
More informationAPPLICATION FOR EMPLOYMENT
Alabama Community College System Application No. APPLICATION FOR EMPLOYMENT Northeast Alabama Community College Position Information Title of position for which you are applying: Date of Application Last
More informationOnondaga County Sheriff s Office Youth Law Enforcement Academy Application
Onondaga County Sheriff s Office Youth Law Enforcement Academy Application Onondaga County Sheriff s Office 407 South State Street Syracuse, New York 13202 (315) 435-3006 The Onondaga County Sheriff s
More informationGENERAL ORDER DISTRICT OF COLUMBIA I. BACKGROUND
GENERAL ORDER DISTRICT OF COLUMBIA Title Establishment of the Citizen Volunteer Corps Topic Series Number OMA 101 02 Effective Date January 20, 2016 Rescinds: GO-OMA-101.02 (Establishment Of The Citizen
More informationUnited States Department of Agriculture. USDA/1890 National Scholars Program 2018 HIGH SCHOOL APPLICATION
United States Department of Agriculture USDA/1890 National Scholars Program 2018 HIGH SCHOOL APPLICATION November 2015 INTRODUCTION Thank you for your interest in the U.S. Department of Agriculture's 1890
More informationKirkland & Ellis New York City Public Service Fellowships at New York University School of Law and Columbia Law School
PERSONAL ESSAYS 1. State briefly the proposed goals of the public service project you wish to pursue as a Kirkland & Ellis Fellow. Please include in this statement a discussion of the short-term and long-term
More informationRegional Child Care Services Grant Application
1 Grant ID Regional Child Care Services Grant Application Grant Contact Name Business Name Address City Zip Code County Phone E-mail Develop Individual ID Organization ID 1. License # Year first licensed
More informationApplication for Employment
Application for Employment The Pavilion Rehabilitation and Nursing Center is proud to be an equal opportunity employer. We do not discriminate based upon race, religion, color, national origin, gender
More informationEMPLOYMENT PROCEDURES FOR SUBSTITUTE TEACHING STAFF
EMPLOYMENT PROCEDURES FOR SUBSTITUTE TEACHING STAFF PHASE I 1. Secure application form in person, mail, telephone, or website (www.pittsville.k12.wi.us). 2. Return the completed application form with a
More informationGuard Force International 7301 Ranch Rd N. 620 N. Suite 155 #284, Austin, TX 78726
Guard Force International 7301 Ranch Rd N. 620 N. Suite 155 #284, Austin, TX 78726 Rev 4-2010 GFI Employment Form Received Applications will be active for 6 months Position applying for: Location: PERSONAL
More informationNORTHWEST FLORIDA BEACHES INTERNATIONAL AIRPORT 6300 WEST BAY PARKWAY, BOX A PANAMA CITY, FL
NORTHWEST FLORIDA BEACHES INTERNATIONAL AIRPORT 6300 WEST BAY PARKWAY, BOX A PANAMA CITY, FL 32409 850-636-8950 APPLICATION FOR EMPLOYMENT (An Equal Opportunity Employer and Drug-Free Workplace) All applicants
More informationCITY OF DOVER POLICE DEPARTMENT APPLICATION FOR POLICE OFFICER
CITY OF DOVER POLICE DEPARTMENT APPLICATION FOR POLICE OFFICER DO NOT WRITE IN THIS SPACE DATE RECEIVED PHYSICAL ABILITY WRITTEN EXAMINATION ORAL INTERVIEW BACKGROUND MEDICAL EXAM PSYCHOLOGICAL EXAM DISQUALIFICATION
More informationOrganic Program 2017 Farm Crop Renewal Application
Organic Program 2017 Farm Crop Renewal Application Farm or Business Name: Applicant Name: Title: Phone: Email: Preferred Contact: Email Phone Contact Name: Title: Phone: Email: Preferred Contact: Email
More informationMonday, December 11th, 2017
Presents the 2017-18 Golden Futures Scholarship This form and associated materials must be received by: Monday, December 11th, 2017 INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED In partnership with and
More informationAllegheny County Airport Authority Charitable Foundation Grant Application
Allegheny County Airport Authority Charitable Foundation Grant Application Introduction The Allegheny County Airport Authority Charitable Foundation (ACAA Charitable Foundation) was established July 10,
More informationCrothall Services Group Environmental Services / Housekeeping
Crothall Services Group Environmental Services / Housekeeping Application Information Please retain this sheet for future reference - Positions for Housekeeping are staffed through Crothall Services Group,
More informationSUMMER CAMP 2015 STAFF APPLICATION
STAFF APPLICATION Please complete CLEARLY in blue/black ink (unless completed electronically). The Boston Minuteman Council, Boy Scouts of America, is an equal opportunity employer. The Boston Minuteman
More informationCARING Experts ADVANCED Technology HEALTHIER Lives
P CARING Experts ADVANCED Technology HEALTHIER Lives Complete & Return this form APPLICATION Adult Date: College Student VOLUNTEER High School Student Name First Middle Last Home Phone Street Address Cellular
More information2018 Alexandria 4-H Summer Day Camp- Lights, Camera Cooking Registration Form
2018 Alexandria 4-H Summer Day Camp- Lights, Camera Cooking Registration Form First Name: Last Name: Address: City: Birthdate: Parent/Guardian Name: Primary Phone: State: Age as of Sept 30: Email: Alt.
More informationSign and return included forms. (Authorization to Release Information Form, Background Check Form and Vehicle Use Agreement)
To: Employees with Conditional Offers of Employment Re: Background Checks All offers of employment or participation in any activity involving minors in a University sponsored program with The University
More informationChildren s Hospital Los Angeles Application for Summer Junior Volunteer Program 2018 (15-17 years of age)
Children s Hospital Los Angeles Application for Summer Junior Volunteer Program 2018 (15-17 years of age) Dear Volunteer Applicant: Thank you for your interest in becoming a Junior Volunteer at Children
More information