2021 Hollyhock Work Exchange Application Form

2021 Hollyhock Work Exchange Application Form

Hello! Let's get acquainted. You will have the opportunity to upload your resume and references. Please note that your responses are held in strict confidentiality.
Full Name *

First Name Last Name
E-mail *
example@example.com

Select any dates that you would consider (flexible dates also available)

First Choice

Second Choice

Third Choice

May 1 - June 1

June 1 - July 1

July 1 - Aug 1

Aug 1 - Sept 1

Sept 1 - Oct 1

Any notes about dates
Which department(s) are you interested in working in?

Garden Housekeeping Kitchen & Hosting Maintenance Production Guest Service & Registration Other

Tell Us About Yourself
Have you been to Hollyhock before? *

No, never (if no, skip next question) Yes, as Resident / Volunteer Yes, as Program Participant Yes, as Visitor or Guest Other
What program did you participate in, and when?
How did you hear about this opportunity at Hollyhock? *
What inspires you to apply to Hollyhock and why now?
What qualities do you bring which will make you an outstanding work exchange participant?
Please describe your experiences of collective or shared living:
List any jobs, hobbies, sports, or other activities in which you engage, which would make you a strong candidate for the work exchange program:
Do you have any concerns about being able to safely and comfortably complete the program? If so, what can we do to address your concerns? Please be candid, we want to make it work out for you!
Do you have any LIFE THREATENING allergies or sensitivities? *
Are you able to stand on your feet for up to 6 hours at a stretch, climb stairs, and do range of motion activities, without extreme fatigue or risk of injury? *

Yes No
Please describe any physical or medical conditions we should be aware of:
Please describe any emotional, psychological, or clinical psychiatric conditions we should be aware of:

Resume and References
Upload your resume and any supporting documents

Cancel of
Employment or Volunteer Reference #1
Full Name *

First Name Last Name
Company / Organization: *
Role *
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
Employment or Volunteer Reference #2
Full Name *

First Name Last Name
Company / Organization: *
Role *
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
I authorize Hollyhock to contact the listed references in support of my application: *

Yes No

Let’s Check a Few More Things
Do you hold a drivers’ license valid in BC?

Yes No
Insurance - I am covered by medical insurance which will be in effect during my stay at Hollyhock: *

Yes No
Non-Therapeutic - I am aware that the Hollyhock work exchange program is not a therapeutic or counselling program: *

Yes No
Comfort and Safety - I am aware of the physical demands of the program and expect that I will be able to complete my term comfortably and safely: *

Yes No
Any special notes, feedback or questions about this application process:
Signature - by signing below, you authenticate all preceding information within this form *

Clear
Signed and submitted on this date: *

Month Day Year
Date
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