First Name*
 
 
 
 
Last Name*
 
 
 
 
Preferred Name
 
 
 
 
Email*
 
 
 
 
Phone Number*
 
 
 
 
Emergency Contact Name*
 
 
 
 
Emergency Contact Relationship*
 
 
 
 
Emergency Contact Phone*
 
 
 
 
If under 18: Birthday
 
 
 
 
If under 18: Parent/Guardian Name
 
 
 
 
Do you have any severe allergies we should be aware of? (Example; bees or peanuts)
 
 
 
 
Why do you want to volunteer at the KPU Farm? *
 
 
 
 
What are your skills, abilities, and strengths? *
 
 
 
 
Please describe any previous farming or gardening experience that you have.* (note: experience is not required to participate in this program, if you do not have any experience simply write not applicable)*
 
 
 
 
What language(s) do you speak / write? *
 
 
 
 
Select your age group*
 
 
 
How did you hear about this opportunity?*