Green Acre Work-Study Request

Thank you for requesting a work-study opportunity at Green Acre. Work-study is granted for resident students only on a first-come, first-served basis, one per family per session. The session fee is reduced by 50% in exchange for four hours of work each day of the session. The work-study participant must be 18 or older. Participants must attend the full session and agree to work in an assigned area where help is needed. Generally the areas of greatest need are food service and housekeeping. Occasionally, assistance with the children’s program is needed. Please fill out the information requested and return to Green Acre Bahá’í School at the address below.

Name: _________________________________________________________ Age: ________
            (First)                                             (Last)

Address : __________________________________________________________________
                        (street)

___________________________________________________________________________
   (city)                                                         (state)                                              (zip)

Phone: ________________________________________________ Bahá’í ID #: ___________
                (day)                                         (home)

E-mail: ______________________________________________ Fax: ___________________

Dates of desired session:____________________________________

Special skills and/or talents:_____________________________________________________________

___________________________________________________________________________________

Work experience to be considered:_______________________________________________________

___________________________________________________________________________________

Emergency Contact Information

In case of accident or emergency, contact:

Name: _____________________________________________ Relationship: _____________                
            (First)                                      (Last)

Address : __________________________________________________________________
                    (street)

___________________________________________________________________________
(city)                                                           (state)                                                         (zip)

Phone: _______________________________________________ Bahá’í ID #: ____________
            (day)                                                   (home)

E-mail: ____________________________________________ Fax: _____________________

Special medical or emergency information (allergies, physical limitations, etc.):

________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________

Green Acre Bahá’í School, 938 Main Street, Eliot, ME 03903-1800

Phone: 207-439-7200, Fax: 207-438-9940, E-mail: greenacre@usbnc.org