HMWC Youth Intern Application Form

Youth Internship Application Form

Thank you for your interest in our youth internship. Please fill out the form below so we can get to know you better.
Your Name*

First NameLast Name
Parent/Guardian Name (if under 18)*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Format: (000) 000-0000.
Do you need accommodation services in order to perform your duties?*

YesNo
Please enter what type of accommodation services do you need.*
Emergency Contacts*
Tribal Affiliation (if any)*
School Name*
Birthdate*

MonthDayYear
Date
How did you find this volunteering program?*

Availability Information (weekly)*

Rows	From	To
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

What skills are you interested in? (Check all that apply)*

Gardening / Farm WorkHerbalism / Medicine MakingEvent SupportYouth ProgrammingAdministrative / Office HelpCommunications / Social MediaCultural ProgrammingBuilding / Repairs / Carpentry
Do you have any relevant skills, experience, or certifications you'd like to share? (herbalism, first aid, language, volunteering, carpentry, farming, gardening, etc.)*
Why do you want to work with Hummingbird Medicine Wellness Center? What does land-based healing mean to you?*
Tell us about your interests, hobbies, passions, or curiosities. This could be anything: fashion, video games, baking, journaling, bike rides, stand-up comedy, anime, makeup tutorials, fixing cars, writing poetry, whatever makes you feel most like you.*
ie. Graphic Design, Social Media
Photographic & Volunteer Release

I hereby acknowledge that the information given above is accurate and I give permission to the community for the use of my photographs that are taken by staff in order to use for social media.
Volunteer Candidate Signature*
Parent of Candidate Signature*
Respect & Consent

At HMWC, we hold this as a space rooted in care, reciprocity, and continuous learning.
We work to honor ourselves and the land with humility by listening deeply, and being open to the medicine of all our relatives: four-legged, two-legged, winged, rooted, finned, and unseen.

Do you agree to move with care, communicate openly, and share in this work with intention and respect for the land, the people, and the process?
Volunteer Candidate Signature*
Parent of Candidate Signature*
Should be Empty:

Youth Internship Application Form