Southwest Conservation Corps

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Conservation Crew Corpsmember Application

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Sustainable Forestry Team Corpsmember Application

Name
FirstLast
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Email
Home phone
Cell phone
Date of Birth (mm/dd/yyyy)*
Gender*
Indicate whether you are Hispanic or Latino
Indicate your race(s): Check one or more boxes.
- American Indian or Alaska Native
- Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- White
How did you hear about the Southwest Conservation Corps?
- Friend
- Family
- Newspaper
- Coolworks.com
- Backdoorjobs.com
- Veterans Green Jobs
- Job Fair
- Other website
- Other
What dates are you available to work?
In which region do you prefer to be based?*
What season(s) are you applying for?
- Winter (Jan-March)
- Spring (March-May)
- Summer (June-August)
- Fall (September-November)
Have you read the job description for the position you are applying for?
Have you worked for a youth/conservation corps before?
If yes, which corps?
Service dates
Have you ever been convicted of a crime? (SCC will conduct background checks but a criminal background does not necessarily bar you from employment)*
If yes, please explain.
Are you able to work legally in the U.S.?
Are you able to lift up to 50 lbs?*
Are you able to work 8 hours a day on projects that require bending, digging and repetative motions?*
Do you have any dietary limitations, restrictions or allergies that need to be accomodated?
References: Please list two references. Do not list friends or family members, work or school reference is preferred. Please include their name, contact information and relationship to you.
Please check your highest education level
Employment History: Please list, in chronological order, your last three employers. Please include the following for each job you list: position title, name of employer, phone number, name of supervisor, wage earned and reason for leaving. *
Tell us about a challenging experience that required a significant commitment if you wanted to succeed.*
Tell us about your experience in the outdoors. Do you have experience camping? Backpacking?
What experience do you have working with a team and what type of goals were you trying to accomplish?*
The work SCC completes is very physically demanding. Please tell us what expereince you have doing physical labor. If you have never done physical labor, please talk about other physical activities or sports that you participate in on a regular basis.
SCC supports you with job recommendations, job placements and we are a solid reference for any job if you successfully complete our program. What are your goals after SCC and how do we fit into your future plans?
Why should SCC hire you? What positive qualities will you bring to your crew?
I have read the information about the Southwest Conservation Corps and I understand that this job will involve hard physical work, living in the outdoors, working as a member of a team and participating in an education program. If offered a job with SCC, I agree to refrain from the use of alcohol and drugs during my entire period of employment. If participating in AmeriCorps, I understand that a background check will be conducted on me and my acceptance into this program is contingent upon our review of this background check. I realize that I have an opportunity to review and challenge the factual accuracy of the result of a background check before any action is taken to exclude me from employment with SCC. I certify that all statements made in this application are ture, correct and complete to the best of my knowledge, and are made in good faith. I understand that misinformation or omission of information could result in disqualification and/or termination as an SCC Corpsmember. *
- Yes
- No
Applicants Signature*

Empowering individuals to positively impact their lives, their communities and the environment.

Headquarters
701 Camino del Rio Suite 101
Durango, CO 81301
(970) 403-1149
Ancestral Lands
Acoma, NM
(505) 552-4074
Four Corners
701 Camino del Rio Suite 101
Durango, CO 81301
(970) 259-8607
Los Valles
701 E. Rainbow Blvd
Salida, CO 81201
(719) 539-2438
Sonoran Desert
1376 W St Mary Rd
Tucson, AZ 85745
(520) 884-5550

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