Seed the City | 2020 Application Form

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Email *

CONTACT & HEALTH INFORMATION

First Name *

Last Name *

Preferred Pronouns

She / Her

He / Him

They / Them

Other:

Phone Number

What grade are you in?

What school do you attend?

Reynolds Secondary School

Victoria High

Esquimalt High School

Oak Bay High School

Spectrum Community School

Mount Douglas Secondary

Lambrick Park Secondary School

Other:

Clear selection

Emergency Contact - Full Name

Emergency Contact - Relationship to you

Emergency Contact - Phone Number

Do you have any serious allergies or health concerns that we should be aware of?

This information will remain confidential.

PROGRAM INFORMATION

You have the option to participate in this program as a Work Experience Course OR to complete your Volunteer Service Hours. What program would you like to apply for?

This program will take place on Tuesdays and Thursdays from 9:30 - 3:30pm for 8 weeks of the summer. The program dates are: July 7 - Aug 27.

As part of the program, we will be managing a farmer's market stand on Wednesday evenings at the Oaklands Sunset Market. All students will be expected to participate in at least TWO of the markets during the summer.

** This part of the program may be modified due to COVID-19 **

NOTE: Special accommodations will be made to help you make up hours that are missed for travel or sick days.

Please confirm that you understand the program schedule:

I understand that in order to receive the Work Experience course credits, I will be expected to participate in all program sessions with a total of 100+ hours.

I understand that in order to participate in this program, I am making a commitment to attend every Tuesday and Thursday from July 7 - August 27.

Please let us know if there are dates that you will be away, or if there is anything else we need to know about your availability.

GETTING TO KNOW YOU

Why did you decide to apply for the Seed the City program? What are you hoping to learn or gain from this experience? *

Describe a time when you worked with a group to achieve a goal or solve a problem. What did this experience teach you about teamwork? *

Please select all areas where you have some previous experience.

This question will NOT determine your acceptance into the program but helps us get a sense of what knowledge and skills you already have.

gardening

farming

cooking

working as an employee

working as a volunteer

working in retail settings

working in restaurant settings

leadership roles at school

leadership roles outside of school

Other:

Based on your past experiences, please share a skill or personal strength that you will be bringing to this program. *

If you could describe yourself as a vegetable or fruit, what would you be and why? *

Is there anything else that you'd like to share that makes you unique?

How did you hear about this program?

Teacher

School Counsellor

Facebook

Instagram

Parent

Friend

Other:

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