Three Springs Flower Garden

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Garden Apprentice-Volunteer Questionnaire

quetionaire flowers-o

Please answer these questions
and submit them to us. Thank you!

Your Name:

Your Email

Your Address:

Phone Number:

Cell Number:

EMERGENCY CONTACT 1:

Phone Number:

EMERGENCY CONTACT 2:

Phone Number:

Do you have health insurance:
Yes
No

Insurance contact information:

Please describe any allergies or medical needs you have:

What is your intended length of stay:

Please describe any dietary preferences or needs:

How did you find us:

Why are you interested in being here:

What skills do you bring:

What gardening and community experience do you have:

We reserve the right to terminate the length of stay of any
garden apprentice, or volunteer.