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Middle Name
Last Name
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City
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State
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Occupation
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Bithday
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IE (Month/Day/Year) 01/21/1979
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Emergency Contact Info
Name
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Relationship
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Intrests and Skills
I am interested in activities involving working with soil
I am interested in activities involving working with farm animals
I am interested in activities working directly with participants (training will be provided)
I am interested in building/repairing structures (carpentry, painting)
I am interested in general office related tasks
I am interested in general cleaning activities
I am interested in outreach activities (booth displays, events, public speaking)
I am interested in supporting website design and development
I am interested in arts and crafts.
I am interested in woodworking
I am interested in assisting wherever you need assistance
I am interested in donating my skills (please list)
Skills
Experience & Training
I have previous experience and/or trainin in:
Availability
Hours available
per month
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Intermittently
1-4 Hours
5-10 Hours
11-20 Hours
21+ Hours
Year Round
Spring
Summer
Fall
Winter
Indoors
Outdoors
I am willing to submit to a background check at my expense (for dealing with participants).
I am willing to do a 40 hour training course (for dealing with participants).
I give my permission to use photographs and other digital medias of me participating at Hiram Farm events.
I have read and agree to the Hiram Farms Terms and Conditions.