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Volunteer Application Form

Name

Address

Phone Number

Email Address

Are you under the age of 16?

Yes

Give a brief outline of your educational background and/or current occupation

Describe previous community or volunteer involvement:

Please list any related training or qualifications.

Please select the volunteer areas you are interested in:

Winter Break Camp

March Break Camp

Summer Day Camp

Recreational Programs

Other

Please provide two (2) references (non-family related).

Reference No 1. Name

Reference No. 1 Position

Reference No. 1 Phone Number

Reference No 2. Name

Reference No. 2 Position

Reference No. 2 Phone Number

Confirmation

I hereby confirm that the information provided in this form is true, complete, and accurate to the best of my knowledge.