Apply to Staff – Woman Within Weekend

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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.
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.
- October 20-22, 2023 - Oracle (Tuscon), AZ (Standard Safe)
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Weekend Choice*
Please choose the Weekend you'd like to Staff. To apply to staff more than one Weekend, submit a separate application for each choice.
- April 27-30, 2023 - Nevada City, CA (COVID Conscious)
- October 19-22, 2023 - Oracle (Tuscon), AZ (Standard Safe)
COVID Conscious & Standard Safety Weekends
COVID Conscious Weekends require: Proof of negative COVID test within 72 hours preceding the Weekend; rapid antigen testing upon arrival at the Weekend site; social distancing if necessary; masking may be implemented if someone tests positive.
Standard Safety weekends do not require COVID testing. Optional: Masking and social distancing.
Find complete descriptions on the last page of this form, under "Woman Within Western USA 'COVID Conscious'/'Standard' Weekend Options - January 2023."
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 (to be held virtually, normally within two weeks of the Weekend):
- Yes, I can attend the Honoring Ceremony
- No, I cannot attend the Honoring Ceremony
Please explain why you cannot attend.*
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: