Concordia Work Exchange Program Application

Please read the application cover letter before filling out the form.

First Name:  
Last Name:  
Name Called:  
Street & Apartment Number:  
City / State / Zip:     
Home Phone:  
Work Phone:  
Email:  
If you are not a U.S. citizen, your immigrations status:  
Date available for work*:      

* The Work Exchange Program runs from June 1 to November 15. To be considered between June 1 and October 15 for 2015 please submit your application no earlier than January 15, 2015 and no later than April 15, 2015. Preferred arrival dates are the 1st or 15th of each month.

Education:
(include school name, level completed, course of study and degree, if any)
 
Employment History:
(include name of company, address, telephone, dates
of employment, position, and reason for leaving)
 
Interests / Hobbies:
 
Describe the positive effect you will have on Concordia Eco-Resort:
 
If you have a travel companion who is also applying to the program,
please provide their name. Should both applicants be accepted,
you may anticipate shared housing:
 

Almost all work at Concordia is outdoors in our 90-95 degree, full sun high humidity environment and day-to-day living involves lots of steps.

Describe any physical limitations you may have in this environment: