Student Application

2026 Sweeny United Student Application

Work Week: June 1-4, 2026

APPLICATION IS DUE APRIL 28. A PARENT WILL NEED TO ASSIST WITH MEDICAL

INFORMATION AND WILL NEED TO SIGN ELECTRONICALLY. Enrollment will be capped to keep teams at a safe, workable size. Please be on time with your application.
Student First Name*
Student Last Name*
Gender*
Age*
Grade Recently Finished*
Street Address *
City *
Zip Code*
Parent's Cell Phone*
Parent's Name*
How many years have you worked Sweeny United?
T Shirt Size (adult sizes)*
Help us plan your Sweeny United experience. Students work on teams to complete yard work. do exterior painting, and to complete exterior carpentry jobs. Please rank your experience and preferences by putting a number 1, 2, or 3 in the boxes below. (#1 is first choice; #2 is second choice; #3 is third choice)
YARD WORK*
PAINTING*
CARPENTRY*
Sweeny United Transportation Rules Students may NOT drive personal vehicles to SU work sites. Students must ride in SU vehicles only. The minimum driver age is 21. Students must wear seat belts and must NOT ride in the back of trucks.
Do you agree to wear a seat belt at all times and Do you agree to ONLY ride in the INTERIOR of a car/truck? *
Other things we need to know for the week.
STUDENT AGREEMENT: I, hereby agree to follow and abide by the rules of Sweeny United. As an ambassador to the community, I will exhibit good character and citizenship and will treat the Sweeny United volunteers fairly. I will treat residents and their property with respect. I will strive to be a good team member by cooperating with my team leader and other team members. I will also participate in orientation, safety training, and will, at all times, practice good safety habits.
Student Name*
Date*

MonthDayYear
Date
Student Signature*

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Student Health Information and Medical Release
Student's Doctor and Doctor's Location*
ALLEGIES, SPECIAL CONDITIONS, RESTRICTIONS, ASTHMA*, ETC.
If your child uses an EPI Pen for allergies or an inhaler for asthma, he/she needs to bring it to Sweeny United and needs to speak to the nurse.
Year of last tetanus shot*
Regular medications*
Are you currently covered by medical insurance? *
Name of primary policy (type 'none' if N/A)*
Policy #*
Group #*
Insurance verification phone*
Any other medical information we might need
EMERGENCY CONTACTS IN CASE OF ILLNESS OR ACCIDENT:
Name*
primary phone*
Other number to contact
Name
primary phone
Other number to contact
My permission is granted for Sweeny United group leaders, nurse, or sponsors in charge, to obtain necessary medical attention in case of sickness or injury to my child. I, the undersigned, do hereby verify that the above information is correct and I do hereby release and forever discharge all group leaders, other students, or sponsors of Sweeny United from all and any claims, demands, actions, or cause of action, past, present, or future, arising out of any damage or injury while participating in any Sweeny United activity or function and I fully release, discharge, and waive any claim or right of action which I have or might have arising from any negligent acts or omissions of Sweeny United volunteers while participating in any Sweeny United activity. Parent or legal guardian signature Date signed:(this application effective from 5/29/23 to 5/31/24)
Parent or Legal Guardian Name*
Signature*

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Date*

MonthDayYear
Date
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2026 Sweeny United Student Application

Work Week: June 1-4, 2026

Student Health Information and Medical Release