Coal River Mountain Watch (CRMW) Intern Application and Questionnaire

This information is confidential and stays in Coal River Mountain Watch’s records.

Name: ______Date: ______

Address______

City______State______Zip______

Phone______E-mail______

What dates can you commit to staying? ______

Do you have funding from your school to cover living expenses? Yes / No

Will you need sleeping space in the volunteer house, do you prefer camping space, or do you plan to make other arrangements?

_____House _____Camping ______Other

Do you have any medical conditions or dietary needs we should know about? (Allergies, vegetarian, etc) ______

Will you be bringing a vehicle? _____ Yes_____ No

Vehicle make and model: ______License plate number:______

Please respond to the questions listed below. In your reply, please feel free to elaborate on any topics not addressed here and include questions you have about our work. Feel free to type or handwrite your responses on a separate sheet of paper. We look forward to hearing from you!

  1. How did you hear about CRMW?
  2. Why are you interested in working with CRMW?
  3. What are your skills and interests, academic or otherwise?
  4. If applicable, please attach any relevant samples of your work (a writing sample, GIS mapping sample, etc).
  5. Have you attended or will you attend a Mountain Justice training camp? Do you have other relevant trainings?
  6. Will you be able to be self-sufficient for the duration of your stay at the CRMW volunteer house?
  7. Tell us more about any activist or environmental work you have done. Tell about specific projects you have worked on.
  8. Have you had experience with living or working in a collective or cooperative? What did you like about it and what would you like to do differently next time?
  9. What would you say is the most challenging thing about working with you?
  10. If there's anything else you'd like us to know about you, please feel encouraged to write more!

Please attach a copy of your resume to this application.

References

Please provide the name and contact information for three different references that you have known at least 2 years. Please make sure at least one reference is a person you have worked or volunteered with.

Reference #1:Name: ______Relationship: ______

Phone: ______E-mail: ______

Address______

City______State______Zip______

Reference #2:Name: ______Relationship: ______

Phone: ______E-mail: ______

Address______

City______State______Zip______

Please submit this application to