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Clubs and Groups:
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Haunted Hike 2018
Friendship Garden Projects
Conservation Crew Internship (CCI) Application 2018
Thank you for your interest in the summer Conservation Crew Internship (CCI) at the Douglas-Hart Nature Center.
Please read the Conservation Crew Internship program requirements (brochure) before applying.
Indicates required field
Grade completed in school:
Are you 18 years of age or older? (You must be 13 to participate on your own).
Phone Numbers: List ALL numbers by which we can reach you or your parents (if under 18).
Your Personal Cell:
Parent's Cell (list their name, too):
Parent's Cell (list their name, too):
Other (please describe):
Check the method(s) you prefer to be contacted by:
Allergies, asthma, and other medical conditions we should be aware of:
Emergency Contact Phone Number:
Conservation Interests & Skills
Check all of the following statements that describe your CCI expereience level:
This will be my first volunteer experience at Douglas-Hart.
I have volunteered at Douglas-Hart or Friendship Garden before.
I have completed (20 hr goal) this internship before.
How did you hear about the Conservation Crew Internships? (Check all that apply)
From my previous invovlement with the JCI program.
From a staff member at Douglas-Hart.
From a teacher or school counselor.
From a friend who recommended it.
If you answered "from a friend," "from a teacher," or "other," please list their name or explain here:
Current Occupation (optional):
Future Career Goal (optional):
Education Background (i.e. high school attended):
Do you have any previous experience in volunteering, conservation projects, or gardening? Please describe in brief.
Please describe in your own words why you would like to complete the Conservation Crew Internship this summer:
Declaration of History
Are there any past or pending criminal charges against you?
Have you ever been convicted for a felony offense?
Have you ever been charged with child abuse or neglect?
Have you ever been charged with a sexual crime?
Is there anything else that we should know about your history or health?
Use this space to explain any questions you answered "YES" to. If you would rather discuss your answer in person, write "see me." For ALL criminal charges, please list the city and state, or county.
Conservation Crew Orientation
This is an orientation event for all Conservation Crew, new and returning, to learn about all of the projects we will be working on throughout the summer. We will tour both conservation sites: Douglas-Hart and Friendship Garden, learn about the equipment used, have hands on training, and get to know fellow crew members. Orientation will start and end at Douglas-Hart. Transportation will be provided to and from Friendship Garden. Although this is an optional event, everyone is encouraged to attend one of these dates. This is a great way to see if crew is a good fit for you. RSVP for orientation on either:
Choose an orientation date:
Wednesday, May 30, 9a.m. -12noon
Thursday, May 31, 9a.m.-12noon
If you are returning or new to crew you can become a crew leader.
Crew leaders are responsible for setting up tools and equipment and leading the project for the day.
Crew leaders are expected to RSVP for and attend a special training on either:
If you want to be a Crew Leader, select a training date:
Tuesday, June 19, 1p.m.-4p.m.
Wednesday, June 20, 1p.m.-4p.m.
The Conservation Crew Internship runs June 4 – August 10, 2018.
Please be sure to RSVP for every shift, either in person, by phone, by email, or via the online or paper calendar! Under certain circumstances, a shift might be cancelled– your RSVP allows us to communicate with you adequately!
will earn you a Douglas-Hart water bottle or new prize for returners.
or more will fulfil the requirements for the Conservation Crew Internship making you eligible to receive a recommendation letter.
You will also earn a Conservation Crew t-shirt.
Sign up throughout the summer for any dates Monday through Friday 9:00am-12noon OR Choose a set of dates or a re-occurring schedule that works for you (i.e. M-W-F or T-Th). Choose the shifts that you expect will be options for you
Mondays, 9 a.m.-12noon @ DHNC
Tuesdays, 9 a.m.-12noon @ DHNC
Wednesdays, 9a.m.-12noon @ DHNC
Thursdays, 9a.m.-12noon @ DHNC
Fridays. 9a.m.-12noon @ DHNC
@ Friendship Garden
Sign up throughout the summer for any dates Mondays and Thursdays
OR Choose a set of dates or a re-occurring schedule
that works for you (i.e. M or M and Th). Choose the shifts that you
expect will be options for you
Mondays, 1p.m.-3p.m. @ FG
Thursdays, 1p.m.-3p.m. @ FG
If you CANNOT attend during the suggested shifts, use this box to indicate what days and hours you are usually available.
When would you like to start? (i.e. "now," or "in June," etc.)
Social Events (optional)
Campfire Lunch Fridays- Join us 4 times throughout the summer, DHNC will provide the food and the campfire.
End of Summer Potluck and Open house-This is open to all crew members and their families.
Check the social events you are interested in attending:
Friday, June 15, 12noon-1p.m. @ DHNC
Friday, June 29, 12noon-1p.m. @ DHNC
Friday, July 13, 12noon-1p.m. @ DHNC
Friday, July 27, 12noon-1p.m. @ DHNC
Saturday, August 11, 12noon-2p.m. @ DHNC
I verify that all information in this application is correct and complete.
I understand that there are risks to working on the Douglas-Hart Nature Center property. I will exercise reasonable safety precautions and will assume all liability for my own accidents and injuries while volunteering my time.
While volunteering, I will model good behaviors and language.
I will adhere by Douglas-Hart Nature Center rules and respectfully represent the facility and staff when on and off the site.
It is my responsibility to arrange my transportation. In the interest of helping DHNC, I will contact staff if I am going to be late or not coming.
E-signature of volunteer
E-signature of parent or guardian (if volunteer is under 18)
It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.
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