Work Exchange 2011 Scholarship Program

Should you have questions, please contact Jennifer Brooks at 973-948-5200.

We look forward to receiving your application!

 

Work Exchange Application Form 2011

Name: ____________________________________________________________________

Address: __________________________________________________________________

Home/Work Phone: _________________________________________________________

Cell Phone: __________________________  Email: _______________________________

* Workshop Title(s): ________________________________________________________

Dates of the Workshop(s): ___________________________________________________

Will you require housing?        YES____   NO_____

Number of hours that must be worked: ________________

Proposed start date of work: ________________________

Skills/Experience: ____________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

* Please Note: Participation in a specific workshop is conditioned on space availability after general enrollment. Therefore, you should indicate your second and third workshop choices below. It is possible to do a work exchange for more than one workshop per summer, so if that is the case be sure to clearly indicate that above and also in the letter of intent.

2nd Choice of Workshop: ____________________________________________________

3rd Choice of Workshop: ____________________________________________________