In order to be eligible for the Work Share program, you must complete this application. Please note that not all applicants can be accepted, and that the decisions of Country Corner are final.
1 . Can you commit to the hours of labor required for free membership in our CSA between June 1, 2011 and October 31, 2011-that is, 5 hours a week for 16 weeks (80 hrs total)*
2 . Have you ever been convicted of a felony?*
Yes
3. Do you have experience in gardening? (check all that apply)
,
4. Please check the days that you would be able to contribute your work hours:
,
5. Which time frame is better fitted to your schedule:
6. Please list other available times:
7. Do you feel comfortable interacting with the public?*
Yes
No
8. If you have leadership experience, please describe:
9. Do you have reliable means of transportation to get you from home to the farm to work your designated hours?*
Yes
10. Are you willing and able to leave small children at home or in daycare with someone else during your scheduled work time at the farm?*
11. Are you interested and able to work Festival weekends in one or more of the following areas? (check all that apply)
Parking Lot Attendant,
12. Are you able to work with minimal direction?*
13 . Are you interested and able to be a delivery person?*
14. Do you have a valid driver’s license?*
15. Do you have a good driving record?*
16 . Do you have current auto insurance?*
17 . Do you have experience driving a pickup truck?*
18 . Are you able to lift 50 lbs?*
19. Do you have any physical limitations or disabilities we need to be aware of?*
If yes, please describe:
Any additional comments or information you wish to provide to assist our selection:
*Validate Your Information: I agree that the above information is totally true, and that with the exceptions noted above, I feel I am fully capable of completing this agreement, providing the work required in order to earn a portion of my CSA food share for 16 weeks.
Today's Date*:
