Application Webform

Please make sure you have contact information for three references and any other information you may need to complete the form before starting. Leaving the page will start the application process over.

Address *

Line 1

Line 2

City

State

Zip Code

Country

Communication Preferences *

Emergency Contact Information

Availability

Assignment Preference

Choose which positions you are interested in. *

Set-Up Crew Runner/Helper Assistant*

Lodging Preferences

If tenting, list people with whom you will tent. Please confirm here that you have a tent. If "other" please explain. *

Photo Permission

My intials typed below indicate my acceptance of the following. Wellness G.I.F.T.S., Inc. has my permission to use visual images with or without audio, which may be taken while I am at retreats for promotional, educational, or fundraising activities. I understand that these likenesses will be used to promote public awareness, understanding and support of the Wellness G.I.F.T.S., Inc. program. *

History

Have you been an Assistant or volunteered in another capacity for Wellness G.I.F.T.S.? If yes, please describe. *

Please provide dates and positions for which you volunteered in the past. *

Have you ever been convicted of a misdemeanor or a felony and do you have any pending criminal charges against you? If yes, please describe. *

If you answered "yes" above, please explain. *

Will you be using your time at Wellness G.I.F.T.S. as an internship or community service commitment? *

Yes No

Please rate yourself in each of the following areas using the drop down boxes.

Please check any areas in which you are certified. *

Water Safety Instruction First Aid AED CPR

Please list any languages other than English you speak. *

Is there a family with whom you prefer to work? *

References

If you are 18 or older or if you plan to complete an internship or community service commitment with Wellness G.I.F.T.S., please identify three professional or two professional and one personal references.

If you are under 18, please provide at least one professional reference (a teacher, someone for whom you babysat, for example) and two personal references.

Please include an address and either a phone number or email for each reference. We will call or email each reference and will mail a form if they are not available via email or phone.

Volunteer and Assistant Application