Participation Application

Please fill out the form below to apply for our 5 month internship program at VerdEnergia

Please note that fields marked with a * are required

Date*

First Name*

Last Name*

What country are you from?*

Email Address*

I am applying for an internship position...*

Will your internship be used for school credit?*

Why are you applying to be an intern at VerdEnergia?

What do you hope to gain from the internship?

What relevant skills, interests, and/or experience do you have?

Describe relevant experience working on a farm/agricultural project or garden:

How do you feel about living in a rural tropical environment without some of the amenities that you may be used to?

Briefly describe your familiarity with permaculture:*

Briefly describe your familiarity with regenerative agriculture:*

Briefly describe your familiarity with sustainable living:*

Briefly describe your familiarity with community development:*

Briefly describe your familiarity with agroforestry:*

Have you lived in a community or a group housing situation before? If so, what was it like?

Would you describe yourself as excited to live cooperatively?*

Tell us more about yourself. What are your interests and passions?*

How well do you speak Spanish?*

How well do you speak English?*

What is your normal diet?*

Do you have any serious medical conditions, allergies, or communicable diseases?* Please list any medical conditions such as seizures, serious food, sting, or medical allergies, or communicable diseases that could affect others in the community. Please understand that this is for our protection as a community and for your safety. The nearest hospital is about 2 hours away and farm staff is not equipped to monitor serious medical issues.

How would you describe your mental health? Do you have any history of mental health issues?* Please understand that living in a remote small community like ours can be difficult for individuals with mental health challenges, and unfortunately, we do not have any mental health services on-site or in our local vicinity.

Please list any pharmaceuticals that you take.* Please understand that not all pharmaceuticals are available or even legal in Costa Rica. Please plan accordingly.

Please enter the full name and your relationship to a family member or next-of-kin that can legally act for you in case of a medical emergency.* ex: Jane Doe, Mother

Emergency Contact Email*

Emergency Contact Phone Number* ex: +1 (555) 555-5555

How did you hear about us?*

Would you like to join our email list?

I am at least 18 years of age. *

I have read and understand VerdEnergia's terms and conditions. I understand that VerdEnergia reserves the right to reject my application at any time.*

You can read our terms and conditions here

Participation Application

VerdEnergia Participation Application

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