Agriculture Immersion Program Application – Montezuma Land Conservancy

Name *

Phone Number *

Email *

Where do you attend high school? *

What grade are you in, or what house are you in at SWOS? *

Who is your Academic Advisor or Community Advisor? *

Please describe why you are interested in participating in the program. *

Please describe any experience you have working with agriculture, gardening, livestock, or conservation. *

Please describe any experience you have working closely with others in a team or crew situation. What do you think are your strengths in terms of working with others? What are your biggest challenges in getting along with others? *

Reference 1: Please list the name, phone, and email of an adult non-family member who can describe your character, work ethic, and commitment. Also state how you know this person. *

Reference 2: Please list the name, phone, and email of an adult non-family member who can describe your character, work ethic, and commitment. Also state how you know this person. *

Reference 3: Please list the name, phone, and email of an adult non-family member who can describe your character, work ethic, and commitment. Also state how you know this person. *