Apply to Staff – Woman Within Weekend

Step 1 of 3

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.
Non-Refundable Deposit Notice*
The staff selection process and building of a team requires a significant amount of work and coordination. Your commitment to the staffing dates is critical, as withdrawals create considerable impact. As such, a non-refundable $50 deposit will be due once selected. Please ensure your availability for October 6 - 9, as refunds will NOT be given, with the exception outlined in the COVID-19 Acknowledgment.

Check the box below to acknowledge your commitment to prioritizing your attendance, if selected.
I commit to prioritizing my attendance if selected, and acknowledge the non-refundable deposit.
COVID 19 Notice and Acknowledgment*
PLEASE READ THOROUGHLY BEFORE APPLYING TO STAFF

Woman Within Weekend ("Event") COVID-19 Safety Acknowledgement

Woman Within Western USA (WWWUSA) prioritizes safety at all events. CDC guidelines and local measures for COVID-19 safety protocol will be followed. To ensure use of the most up-to-date guidelines, we will inform all staff approximately 21 days prior to the Event of any specific protocol that will be implemented.

One or more of the following may be a requirement:
● Self testing at home and/or on site
● Face coverings
● Social distancing

Refunds will not be given due to COVID-19 protocol changes or misunderstandings. Do not apply to staff this event if you would be unable to adhere to these safety protocols.

You are required to inform us immediately if you (or someone for whom you are caretaker) test positive for COVID-19 within 5 days of the Event. You will have the option for your full staffing fee to be refunded or applied toward a future Event.

By checking the box below you agree to the following:

● WWWUSA cannot guarantee that those attending the Event will not become infected with COVID-19. You voluntarily assume risk of exposure or infection which may result in illness or death.

● If a COVID-19 infection occurs before, during, or after participation in the Event, you forfeit the ability to make any claims based on the actions, omissions, or negligence of Woman WWWUSA, its staff and representatives.

● If you become sick while you are at the Event, we will ask that you quarantine in a private room until you can safely leave the Event site.

● While unlikely, WWWUSA may at its sole discretion, cancel the Event with short notice. In the event of such cancellation, WWWUSA shall have no liability for travel expenses or costs you incur. WWWUSA's only liability shall be providing you the option for your staff fee to be refunded including your $50 deposit or applied toward a future Event.

Please check the box below to acknowledge that you have read and accepted these terms and conditions, and agree to follow safety protocols set in place by the local state, the Event site, and WWWUSA.

I acknowledge and accept the COVID-19 risks and precautions outlined and commit to following any and all safety measures required at the Event. I acknowledge that any specific protocol for the Weekend will be shared approximately 21 days prior to the Event.

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.
Staff Training is required for all first-time staffers and encouraged as a refresher for all women staffing the Weekend.
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 the 9 AM Friday staff meeting.)
Name*
First Last
Email*
Enter Email Confirm Email
Address*
Street Address City State / Province ZIP / Postal Code Country
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.
- Oct 6-9
Mobile Phone*
Alternate Phone
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 to you.) I can arrive onsite by 5pm Thursday.
- Yes
- No
Honoring Ceremony*
I commit to attend the post-Weekend Honoring Ceremony on October 16, 2022:
- Yes, I can attend the Honoring Ceremony
- No, I cannot attend the Honoring Ceremony
Why you cannot attend.*
If you are staffing from out of the area, please let us know.
Date of Birth*
Month
Day
Year
Occupation*
Licenses*
Please indicate any health care professional licenses you have. If you have none, choose "None."
Other?*
Please describe what other professional license you may have
First Aid Qualifications?*
Please let us know if you have any first aid qualifications.
- Yes
- No
Qualification Description*
Please identify what first aid qualifications you have.
Other 1st aid
Please describe any other first aid qualification you may have
Health 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: