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This application for t
he Green Ambassador's program
will take around 15 minutes to complete. If needed, you can use the option to save and continue later.
Program Name Hidden
Program ID Hidden
Start Date Hidden
End Date Hidden
Program Name
Start Date
End Date
Applicant
Applicant Information
Enter information about the person who is applying to be in the Green Ambassadors program.
Applicant First Name
Nickname
Only if different from first name
Applicant
Last Name
Date of Birth
Use a format such as 05/07/2008
Age Valid?
Age Valid
Age Invalid
The date of birth you have entered is formatted incorrectly. Please try again using a fully formatted date (for example, 04/05/2008).
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Age Range
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Under 18
18
19-20
21 and over
Calculated Age
Gender Identity
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Male
Female
Non-binary
Other / Prefer to Self-Describe
Self-Described Gender Identity
Pronouns
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He/Him
She/Her
They/Them
He/They
She/They
Not Listed
Applicant Contact Information
Applicant
Email
Applicant
Cell Phone
Texts related to the program can be sent to this cell number
Home Phone
Applicant Address
Street Address
City
State
Please select...
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
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MD
ME
MI
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MS
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OH
OK
OR
PA
PR
RI
SC
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TN
TX
UT
VA
VT
WA
WI
WV
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Zip Code
Applicant School Information
Middle School Applicant Attends or Attended
High School
Applicant
Attends (If Applicable)
BPS Student Id Number (If attending a BPS School)
Parent/Guardian
Parent/Guardian Information
Please enter information about a parent/guardian for the a
pplicant
Relationship to Applica
nt
Please select...
Mother
Father
Guardian
Aunt/ Uncle
Grandparent
Step-Mom
Step-Father
State Custodian
Other
Other Relationship
First Name
Last Name
Parent/Guardian Contact Information
Email
Cell Phone
Texts related to the program can be sent to this cell number
Home Phone
Preferred Phone
Please select...
Cell
Home
Application Questions
1. Do you have any prior engagements Tuesdays through Fridays, July 5th through August 4th 2023? If yes, what will pose a conflict for you?
2. Will you be able to arrive at the boat dock, located at the EDIC Pier in Boston’s Seaport, by 7:45 AM?
Yes
No
3. We include a three-day, two-night camping trip as part of our program. I can commit to camping in the Boston Harbor Islands
during the week of July 10th, 17th or 24th (a final date will be communicated to you once confirmed).
Agree
Disagree
Detailed information will be provided once hired
4. Have you ever been to any of the Boston Harbor Islands?
Yes
No
If yes, which islands? (please list all)
If yes, how? (please name school, employer, club, etc.)
5.
Why are you interested in the Green Ambassador program?
How did you find out about this opportunity?
6. If you do not already have one, will you be able to obtain a checkings or savings account, for the purpose of direct deposit by May 15, 2023?
Please list two references (can be a teacher, a coach, a supervisor, someone -- not family -- who knows you well) and their emails.
Reference 1 Name
Reference 1 Email
Reference 2 Name
Reference 2 Email
If hired, I commit to completing all my on-boarding paperwork by June 16, 2023. My failure to do so will jeopardize my employment status.
If hired,
I will be vaccinated for COVID-19 up to CDC guidance including the updated (bivalent mRNA) booster dose, by June 16th 2023. For information about CDC Covid vaccination guidelines, as well as sites in Boston to get vaccinated, please click here:
https://www.mass.gov/covid-19-vaccine
.
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