Apply to Staff – Woman Within Weekend Home » Next Steps » Staffing The Weekend » Apply to Staff The Weekend Step 1 of 2 50% Thank you for your interest in staffing a Woman Within® Weekend presented by Woman Within Western USA. Upon submission, you will receive a confirmation email acknowledging receipt of your application. PLEASE NOTE .....Staff selection takes place approximately 60 days prior to a Weekend and you will be notified of a Staffing decision, approximately 45 days prior. Each woman who is accepted to Staff, will be assigned a different support role during the Weekend. If you have any concerns or restrictions, please be sure to let us know in your application. Also note, A One Day Staff Training is required, for all 1st time Staff. Woman Within welcomes all women and prohibits discrimination based on race, color, gender, national origin, age, religion, disability, veteran’s status, sexual orientation and gender identity. Staffing commitment: 6:00 PM Thursday* until 5:00 PM Sunday (*Please note Woman Within International policy requires all staff to arrive by and attend 9 AM Friday staff meeting.) Name* First Last Email* Enter Email Confirm Email Address* Street Address City State / Province ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Mobile Phone*Weekend Choices*Please check the Weekends you are available to Staff. If any of your application information or availability changes, it is your responsibility to inform the Staffing Coordinator. Safety is our utmost concern. Palmdale, CA Nov 9-11, 2018, Julian, CA Mar 1-3, 2019 Alternate #Arrival Time*Certain Staff roles need you to be onsite by approximately 5pm on Thursday, for preparation prior to the first Staff meeting on Friday morning. (Being unable to commit to this, may limit the roles available) I can arrive onsite by 5pm Thursday. YesNoHonoring Ceremony*I commit to attend the post-Weekend Honoring Ceremony for the Weekend(s) I am applying to Staff: Yes, I can attend the Honoring CeremonyNo, I cannot attend the Honoring CeremonyWhy you cannot attend.*If you are staffing from out of the area, please let us know. Date of Birth* MM DD YYYY Occupation*Licenses*Please indicate any health care professional licenses you have. If you have none, choose "None."Registered NurseLicensed Practical NurseMedical DoctorLicensed TherapistPsychologistOtherNoneOther?*Please describe what other professional license you may haveFirst Aid Qualification*Please let us know whether or not you hold any of these qualifications.A valid first aid qualificationA valid CPR qualificationNo, I don't hold any first aid qualificationsHealth Conditions/Physical Limitations*Please include medical and physical limitations (e.g. pregnancy, blood pressure, lifting restrictions, etc.) If you have none, indicate "none." These responses will not prohibit you from staffing, but will allow the Staff Selection Committee to properly balance teams on the Weekend. If you have none indicate, "none."Allergies*Please include any allergies to medication, food, or fragrances (e.g. sage, bees, etc.) If you have none, indicate "none."Friend or Relative Attending?*Do you have a CLOSE friend or relative attending as a Participant? (Please list only those who are already registered.) Please provide name(s) and relationship or enter "none" if you have none: First Staffing*Would this be your first time staffing a Weekend?Yes, this is my first time staffingNo, I have staffed a Weekend beforeStaffing Experience*How many times have you staffed?One timeTwo timesThree timesFour or more timesStaff Role Experience*Select all the roles you have previously staffed. Certain Staff roles (Nurturer, Supplies, ATL) are required before advancing into Leadership. Assignments with direct Participant interaction (Nurturers, Rituals, Safety, ATL) require completion of Woman Within Skills Workshop. Please list any previous experience of staffing the Woman Within Weekend. NurturerSuppliesATLSnacksRoom/TimerFacilitiesMusicSafetyRitualsWhat I bring to the Weekend as my giftsWhat I bring to the Weekend as my shadowsOther ways that I support myself in ongoing developmentWorkshops completed.*Highlight all the Woman Within Workshops you have completed.Woman Within WeekendStaff TrainingSkills WorkshopWholeness WorkshopCircle TrainingFacilitation Track*Are you interested in entering the Facilitation Track?Yes, interestedNo, not interestedAlready on the Facilitation TrackCurrent Certification*If already on the Facilitation Track, please list your current Certification level:General Staffing*If you are on the Facilitation Track and do not get assigned a FAC/FIT role, are you still interested in being considered for a General Staffing position?Yes, I am interested in a General Staffing positionNo, I am not interested in a General Staffing positionRole requestIs there a particular role on the Weekend for which you would like to be considered?How does the Woman Within Staffing Application process work? Woman Within Weekend Staff are selected in Western USA following Woman Within International staffing requirements plus Western USA regional policy. • Applications to staff the Woman Within Weekend® in the Western USA region should be submitted no later than 75 days prior to the event. • You’ll receive notice approximately 45 days before the Weekend stating if you’ve been accepted for staffing, put on a waiting list or advised to do other preparation before you staff. • Requests received after the application deadline will be reviewed as needed.As part of your commitment to staff, you must: • Pay your staff fee – staffing is done on a volunteer basis; the fee helps cover part of the cost of your room and board. Please note the fee must be paid prior to start of the Weekend. • Be in ongoing personal self-care and personal inner work, beyond staffing the Woman Within Weekend®.What are the requirements to staff? To staff for the first time you must: • Complete the Woman Within® Weekend in any Woman Within International region • Complete Woman Within® Staff Training in any Woman Within International region • You must be in good financial standing with Woman Within International and all Woman Within regions • You must complete and submit a Staff Application CommentsThis field is for validation purposes and should be left unchanged.