Atlanta CREW Program Application

Atlanta CREW (Culture-Resilience-Environment-Workforce) is a free green infrastructure (GI) and stormwater management workforce development program that trains participants how to install and maintain GI that has been designed with a cultural and artistic vision.

Training cohorts will occur from April 2019 – April 2020 and will include 1 day of GI install training, 1-2 days of hands-on GI installation, 1 day of GI O&M training, and mini-job fairs/interviews with employers.

The trainings will be held at the Outdoor Activity Center in SW Atlanta and participants will receive a stipend of $35 per day for up to four days of participation.

The application must be fully completed and submitted to be considered.

Apply online at form.jotform.com/regional/southfaceatlantacrewapp.

Please contact AtlantaCREW@southface.org with questions.
Personal Information
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Mobile Number

Area CodePhone Number
Are you at least 18 years of age?*

YesNo
Citizenship*

U.S. CitizenLawfully permanent residentOther immigrant authorized to work in the U.S.
Race*

African American/BlackAmerican Indian/Alaskan NativeAsianHawaiian/Other Pacific IslanderWhiteSome other race, ethnicity, or originPrefer not to answer
Hispanic or Latino?*

YesNo
I acknowledge that if I am selected to participate in this program, I will be required to submit to a background check.*

YesNo
Background Information
What is your Highest Level of Education?*

Less than a High School DiplomaHigh School Diploma or EquivalentSome College, No DegreeVocational School CertificateAssociate's DegreeBachelor's DegreeMaster's Degree or Higher
What is your Current Employment Status?*

Working full-timeWorking part-timeNot workingNever workedOther
Most Recent Employer and Job Title?*
Do you have Reliable Transportation?*

YesNo
Date Available to Start Training*

MonthDayYear
Date
Please specify availability for the trainings and installations below:
Sunday

DaytimeEvening
Monday

DaytimeEvening
Tuesday

DaytimeEvening
Wednesday

DaytimeEvening
Thursday

DaytimeEvening
Friday

DaytimeEvening
Saturday

DaytimeEvening
Can you perform the functions of this position with or without reasonable accommodation? Physical demands require constantly moving, walking, stooping, and kneeling. Ability to lift up to 50 lbs. Projects will require working outdoors in all types of weather conditions and exposure to elements. This may include exposure to tools and small machines used in construction industries. Formal education is not required, but participation requires on-the-job training. Must be able to communicate with the ability to see, speak and hear.*

YesNo
Why would you like to participate in Atlanta CREW?*
How did you hear about Atlanta CREW?*
Signature Disclaimer

I certify that my answers are true and complete to the best of my knowledge. If this application leads to acceptance into the program, I understand that false or misleading information in my application or interview may result in my release.
Full Name*

First NameLast Name
Date*

MonthDayYear
Signature*

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Personal Information

Background Information

Signature Disclaimer