Education Programs Application Form

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Hidden Information

This section will be hidden. The Id below will be populated via the URL; it contains the record Ids we need when pushing the information in this form back to Salesforce.

We'll pull the program and subprogram values from Salesforce, and that will control which sections appear on this application.

Course/ Program Id

Program

Seeds to TreesLearning GardensCoastal ClassroomsGreen Girls

Subprogram

School DayAfterschoolSummer InstituteTeacher Training

Registration Limit Reached

Waitlist Limit Reached

Registration Active

Applicant Type

ParticipantIntern

Registration Active Bypass

Class information

Program

Total Number of Sessions

Class Focus

First Session

Last Session

Registration limit reached

Thank you for your interest in this class! The registration limit has been reached, but you or your child will be put on the waiting list.

Waitlist limit reached

Thank you for your interest in this class! Unfortunately, the waitlist limit has been reached and we cannot process additional applications.

Introduction

Thank you for considering the City Parks Learn -- Program. We look forward to receiving your application.

Click the Next Page button below to begin the application.

Parent or guardian information

First Name

Last Name

Describe your relationship to the student.

ParentGuardianOther

Phone Number

Parent or guardian home address

Street

City

State

ZIP Code

Student information

First Name

Last Name

Phone Number

Birthdate

Student's home address

Street

City

State

ZIP Code

Student demographic information

City Parks Foundation uses demographic information to better understand the reach and impact of our services.

What best describes your gender?

ManNon-binaryWoman

Please further describe your gender (if desired).

What best describes your race/ethnicity? Please select all appropriate options.

American Indian or Alaska NativeAsianBlack or African-AmericanHispanic, Latino/a/x, or Spanish originNative Hawaiian or Other Pacific IslanderWhite

Race/Ethnicity Count

Please further describe your race, ethnicity, or other identification (if desired).

What is your primary spoken language?

ArabicBengaliChineseEnglishFrenchItalianKoreanPolishRussianSpanishUrduYiddishA different language

What other language is your primary spoken language?

What are your pronouns?

he/hisshe/herthey/theirLet me describe

Please enter your pronouns.

Do you have a sibling in a current CPF program?

YesNo

Staff, interns, and volunteers

Have you worked with CPF before?

YesNo

Which program(s)?

Coastal ClassroomsGreen GirlsLearning GardensSeeds to TreesSomething else

In what role(s)?

TraineeHS InternCollege InternVolunteerPeer MentorOther

Interns

What school do you currently attend?

In which borough is your school?

What grade are you in?

Enter your high school's 9-digit OSIS number (without dashes or extra characters).

What time do you finish your last class? Please enter a well-formatted time.

e.g., 3:00 PM, 4:30 PM, etc.

What extracurricular activities are you currently involved in? This can include lessons, volunteering, after-school activities, religious groups, team and recreational sports, etc.

Do you currently have a job?

YesNo

Describe your position, your typical schedule, and the number of hours you work per week.

Do you have experience working with younger kids? Relevant experience can include babysitting, volunteer work, etc.

YesNo

Describe your experience working with kids.

Why do you want to be an intern?

What are your related skills and strengths?

What are your favorite subjects, hobbies, activities, and interests?

Referral

Please ask one teacher or a group leader that you are affiliated with to provide their contact as recommendation for the internship.

Enter the individual's first and last name.

What is their email address?

Optionally, what is their phone number?

Education experience

What types of education experience do you have?

Formal School TeacherAfterschool TeacherInformal EducatorMuseum EducatorEnvironmental EducatorOther

Enter a description of the subjects you've taught.

Approximately how many students have you taught in your lifetime? An estimate is just fine.

What grades have you instructed?

Pre-K	Kindergarden
1st	2nd
3rd	4th
5th	6th
7th	8th
9th	10th
11th	12th
None of these

Emergency contact details

Enter your emergency contact's first and last name.

What is their email address?

What is their phone number?

Consent and authorizations

Please review the medical consent form. Do you agree to the conditions of this form?

YesNo

Please review the liability consent form. Do you agree to the conditions of this form?

YesNo

Please review the photo permission and media release. Do you agree to the conditions of this form?

YesNo

Are you legally authorized to work in the United States?

YesNo