Student Intern Application Section I Name * First Name Last Name Email * Phone Number * Date MM DD YYYY Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Section II Name of the college/university you are attending: * Classification: * Freshmen Sophomore Junior Senior Level of Study: * Associate Bachelor's Master's Major and/or Minor * Previous volunteer experience: * Hobbies/Interests * Languages Spoken * Section III What semester are you applying for? * Fall Spring Summer How many hours are you willing to commit to this internship per week? * I am available Monday thru Friday: Mornings Afternoons I am available weekends: Mornings Afternoons Section IV Relevant Coursework: * Why do you want to intern at Simple Sparrow? * Section V Please provide 3 references not related to you (teacher/professor, supervisor, mentor, or others familiar with your qualifications and skills): * Section VI Do you have any physical conditions that may limit your activities? * Yes No If yes, please explain. Morality Contract Our mission at Simple Sparrow is: “Learn, Grow, Heal” We learn about land, gardens, and animals. We grow in knowledge, confidence, and abilities through practicing what we have learned. We heal through safe relationships in a caring compassionate community as we continue to learn and grow. All volunteers and staff are invited to “learn, grow, heal” for themselves and to facilitate the journey of others through Simple Sparrow Care Farm. This means, YOU are the safe relationship and caring compassionate community! Our core values: 1. Kindness: to all people and animals. 2. Respect: self, others, animals, and equipment. 3. Duty: get your assigned tasks done in a timely manner. Please initial to confirm you read and agree to the morality contract * Liability Waiver Animals can be unpredictable. Please do not handle animals without proper training or assistance. By your participation in the program you have indicated that you accept the limits of liability from inherent risks of animal behaviors. I understand and acknowledge that an agritourism entity is not liable for any injury to or death of an agritourism participant resulting from agritourism activities. I understand that I have accepted all risk of injury, death, property damage, and other loss that may result from agritourism activities. Signature of applicant and date * Thank you!Someone will reach out as soon as possible.
