Dear Zoo Crew Applicant,

Size: px
Start display at page:

Download "Dear Zoo Crew Applicant,"

Transcription

1 Dear Zoo Crew Applicant, Thank you for your interest in Zoo Crew, the Children s Zoo teen volunteer program! For a complete list of program benefits visit our website at Please read this page carefully as it contains important information about the program and application process. Any returning Zoo Crew members please note there are some changes to the application process. Teens who are at least 13 years of age and no older than 18 years may apply. Completed applications must be received by the Zoo no later than July 1 st, o Applications received after this date will not be considered. A completed application must include the following items: o A completed application form o Answers to all the essay questions o A completed volunteer release and waiver of liability form o Two letters of recommendation forms faxed to us or placed in signed sealed envelopes by the writers and sent in with the application. o Proof of a negative TB test issued in the past 12 months o Proof of a current tetanus vaccine Incomplete applications will not be considered for the Zoo Crew program. It is required that Zoo Crew members commit to at least 40 hours of service between their orientation date and August 20 th, All Zoo Crew members (including returning Zoo Crew) must attend 1 of the 4 orientation meetings with a parent or guardian. No exceptions! Zoo Crew members are required to observe the Children s Zoo dress, attendance and behavior protocols. o Zoo Crew members will be required to supply their own khaki or black pants or long shorts, closed toe shoes and socks. CZCS will provide uniform shirts. As part of the Zoo s effort to go green and conserve paper, most correspondence for the Zoo Crew program will be done electronically by if possible. All correspondence will be made between the teen volunteer and the Zoo Crew Coordinator. By applying to this program, you and your parents indicate your commitment as outlined above. You will be sent an (if possible) or letter outlining your application status. Complete applications will be reviewed as they are received. If you have any questions about the program requirements or application process, please e- mail info@saginawzoo.com or call us at (989) Sincerely, Lizzy Schultz Zoo Crew Coordinator Children s Zoo at Celebration Square

2 Zoo Crew Teen Volunteer Application Application must be received by 5:00 p.m. on Friday, July 1 st, 2016 to be considered for the program. Please complete the following application in full and return it with two completed letters of recommendation forms and a signed volunteer waiver to be considered. Send applications to: Children s Zoo at Celebration Square, 1730 S. Washington Ave., Saginaw MI Applicants will be notified by (preferably) or mail upon acceptance into the program. Name: Date: Address: City & State: Zip: Primary phone: Secondary phone: T-shirt Size: S M L XL 2XL Teen Date of Birth: Age (Current): Grade: School Attending: Have you previously been a Zoo Crew Member? Yes No if yes, when? Have you ever been convicted for violation of any federal, state, county or municipal law, regulation or ordinance? Yes No If yes, please explain: In case of an emergency, whom should we contact? 1. Name: 2. Name: Phone (day) Phone (day) Phone (evening) Phone (evening) Please list any allergies or medications you are taking of which we should be aware: Please number the orientation dates in order of preference. The acceptance letter will list which orientation date you are expected to attend. Saturday, May 7 th -4-5 pm Thursday, May 26 th -5-6 pm Tuesday, June 14 th -5-6 pm Saturday, July 9 th -3-4 pm ** All Zoo Crew must attend 1 orientation session with a parent /guardian.

3 Please take the time to tell us about yourself. We want you to get the most out of the Zoo Crew program! Please answer the following questions as completely as possible so that we can get to know you a little better. Your answers will help us to make the summer a successful and fun experience for you! Circle whether you agree or disagree with the following statements. There is no right or wrong answer! I like to learn about animals, and pass that knowledge on to other people! I think I might be interested in becoming a zookeeper! I do not mind getting dirty when I volunteer. I am an outgoing person with a flair for theater. I am an artistic person. On a separate sheet of paper: Please take the time to fully answer the following questions in your own words. Answers should be essay-style and typed or neatly printed on a separate sheet of paper. 1. Why do you want to be a part of the Zoo Crew Program (other than an affinity for animals and/or the zoo)? 2. What do you hope to take away from working with the Zoo Crew Program this season? 3. List three Zoo Crew duties you are most interested in and why. Available duties include: Face Painting, Hay donation station, Zoo Camp, Enrichment Station, Amphitheater shows, Storybook Corner, Animal exhibit interpretation, Zookeeper assistant, Commissary assistant, Biofact table, Birthday Party assistant, and Zoo Crew Leader (only available to returning Zoo Crew).

4 References Please list the two individuals you have asked to fill out a recommendation form for you. Please see the recommendation form for submission information. 1. Name: 2. Name: I have read and agree to the Zoo Crew Program requirements. I also understand that submitting this application does not guarantee participation in the Zoo Crew Program. Zoo Crew Volunteer Signature: Date: Parent/Guardian Information Name: Relationship: Address: Phone: I give permission for my child to volunteer as a Zoo Crew member for the Children s Zoo at Celebration Square. I have read and agree to the Zoo Crew Program requirements. Parent/Guardian Approval: Date:

5 Zoo Crew Recommendation Form Applicant: Please give this form to a person age 18 or over who is not related to you. To the Recommender: You have been asked to evaluate a teenager who is interested in the Zoo Crew Program, a teen volunteer program at the Children s Zoo at Celebration Square. We are looking for responsible, outgoing, and motivated teens to volunteer their time and talent to our program. Solid communication skills are just as important to this volunteer position as a strong commitment to animal care, welfare and conservation. Your evaluation will not exclude a teen from the program. We are looking for more information about the teen to see how they fit into our program and allow them to be successful. Thank you in advance for taking the time to evaluate the skill set of this teen. Name of teen applicant: How long have you known the applicant? What is your relationship to the applicant? Please rank the applicant s skills using the following scale: Poor Fair Good Excellent Can t Say Dependability Punctuality Ability to work and communicate with children Ability to work and communicate with peers Ability to work and communicate with adults Leadership skills Ability to follow directions Willingness to learn Ability to work independently Any Additional comments you can tell us about the applicant that might assist us? Your Name: Signature: Date: Please return this letter in one of three ways: Place in a signed, sealed envelope and return to the applicant to turn in with their application, fax it to (989) , or a scanned copy to info@saginawzoo.com For questions or concerns please contact the zoo at (989) or info@saginawzoo.com.

6 Zoo Crew Recommendation Form Applicant: Please give this form to a person age 18 or over who is not related to you. To the Recommender: You have been asked to evaluate a teenager who is interested in the Zoo Crew Program, a teen volunteer program at the Children s Zoo at Celebration Square. We are looking for responsible, outgoing and motivated teens to volunteer their time and talent to our program. Solid communication skills are just as important to this volunteer position as a strong commitment to animal care, welfare and conservation. Your evaluation will not exclude a teen from the program. We are looking for more information about the teen to see how they fit into our program and allow them to be successful. Thank you in advance for taking the time to evaluate the skill set of this teen. Name of teen applicant: How long have you known the applicant? In what capacity do you know the applicant? Please rank the applicant s skills using the following scale: Poor Fair Good Excellent Can t Say Dependability Punctuality Ability to work and communicate with children Ability to work and communicate with peers Ability to work and communicate with adults Leadership skills Ability to follow directions Willingness to learn Ability to work independently Any Additional comments you can tell us about the applicant that might assist us? Your Name: Signature: Date: Please return this letter in one of three ways: Place in a signed, sealed envelope and return to the applicant to turn in with their application, fax it to (989) , or a scanned copy to info@saginawzoo.com For questions or concerns please contact the zoo at (989) or info@saginawzoo.com.

7 Release and Waiver of Liability Children s Zoo at Celebration Square This release and Waiver of Liability is executed by the Volunteer, parent or guardian, in favor of the Saginaw Valley Zoological Society, operating as Children s Zoo at Celebration Square, a nonprofit corporation ( Zoo ), its directors, officers, employees, and agents. The Volunteer desires to participate in the Zoo s volunteer programs and activities. The Volunteer understands their participation may include a variety of activities required in operating the Zoo. The Volunteer does hereby freely, voluntarily, and without duress execute this Release under the following terms: 1. Waiver and Release. The Volunteer does hereby release and forever discharge and hold harmless the Zoo and its successors and assigns from any and all liability, claims and demands of whatever kind or nature, either in law or in equity, which arise or may here after arise from Volunteer participation in any Zoo programs. 2. Medical Treatment. The Volunteer does hereby release and forever discharge the Zoo from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Volunteer s participation in any Zoo programs. 3. Assumption of Risk. The Volunteer hereby expressly and specifically assumes the risk of injury or harm in these activities and releases the Zoo from all liability for injury, illness death, or property damage resulting from the activities of the Volunteer s participation in the Zoo s programs. 4. Insurance. Each Volunteer is expected and encouraged to have medical or health insurance coverage. 5. Photographic Release. The Volunteer does hereby grant and convey unto the Zoo all right, title, and interest in any and all photographic images and video or audio recordings made by the Zoo during any programs or volunteer activities, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings. 6. Other. Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Michigan and that this Release shall be governed by and interpreted in accordance with the laws of the state of Michigan. The volunteer agrees that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable. In witness whereof, the Volunteer has executed this Release on this date Volunteer Name (Please Print) Parent/Guardian Signature (if under 18) Volunteer Signature Witness

Written applications for admission are accepted year round and qualified applicants will be placed in appropriate class.

Written applications for admission are accepted year round and qualified applicants will be placed in appropriate class. 835 Ferry Street Martinez CA 94553 925-293-4792 Loaves and Fishes of Contra Costa ( LFCC ) Culinary Training Program ( CTP ) The Loaves and Fishes Culinary Training Program is a five-week (@70-100 hours)

More information

El Salvador Mission/Study Trip Application

El Salvador Mission/Study Trip Application El Salvador/Guatemala Trip Dates: July 31- Aug 10 Please print in ink (Or type and e-mail) El Salvador Mission/Study Trip Application Name: Age: Birthday: LAST FIRST MIDDLE Male Female Email Address City

More information

CTS Application Guidelines

CTS Application Guidelines CTS Application Guidelines Thank you for your interest in volunteering with. As a CTS volunteer, you are about to begin an educational experience that will be significant in the preparation of a future

More information

Dear Prospective Volunteer,

Dear Prospective Volunteer, Dear Prospective Volunteer, Vaughan Animal Services would like to take this opportunity to thank you for your interest in our volunteer program. Please note we currently have three volunteer programs to

More information

Onondaga County Sheriff s Office Youth Law Enforcement Academy Application

Onondaga County Sheriff s Office Youth Law Enforcement Academy Application Onondaga County Sheriff s Office Youth Law Enforcement Academy Application Onondaga County Sheriff s Office 407 South State Street Syracuse, New York 13202 (315) 435-3006 The Onondaga County Sheriff s

More information

2018 INTERN SUMMER APPLICATION PACKET

2018 INTERN SUMMER APPLICATION PACKET 2018 INTERN SUMMER APPLICATION PACKET 1831 Robinson Street, Jackson, MS 39209 Phone:(601) 238-2073 Website: www.jvmpf.org Email: MzElizperk@gmail.com Dear Applicant, John & Vera Mae Perkins Foundation(JVMPF)

More information

YOUTH VOLUNTEERS. Dear Parent and Prospective Camp Teen Volunteer:

YOUTH VOLUNTEERS. Dear Parent and Prospective Camp Teen Volunteer: YOUTH VOLUNTEERS Dear Parent and Prospective Camp Teen Volunteer: Thank you for your interest in the Zoo Miami Foundation Camp Teen Volunteer program! The Zoo Miami Foundation Camp Teen Volunteer program

More information

VOLUNTEER WITH US. 332 Stable Lane Wentzville MO Phone (636) Fax (636)

VOLUNTEER WITH US. 332 Stable Lane Wentzville MO Phone (636) Fax (636) VOLUNTEER WITH US 332 Stable Lane Wentzville MO 63385 Phone (636) 332-4940 Fax (636) 332-4941 WWW.THSTL.ORG Dear Prospective Volunteer, TREE House of Greater St. Louis (TH) is one of the nation s oldest

More information

Angela Max Maxwell. Dear Prospective Volunteers and Interns,

Angela Max Maxwell. Dear Prospective Volunteers and Interns, Dear Prospective Volunteers and Interns, Thank you for your interest in The Bunny Hutch Boutique and CLIMATES-Rescue. Our volunteers and interns are a precious resource. Interns and Volunteers contribute

More information

REGISTRATION FORM 2018

REGISTRATION FORM 2018 STUDENT: REGISTRATION FORM 2018 *Please note registrations are accepted on a first come first served basis. All sections on registration form must be completed. PARENT/GUARDIAN: Date of Birth: (yyyy/mm/dd)

More information

2016 Multi-Jurisdictional Law Enforcement Explorer Academy

2016 Multi-Jurisdictional Law Enforcement Explorer Academy 2016 Multi-Jurisdictional Law Enforcement Explorer Academy All questions must be answered. If something does not apply please indicate N/A. Note: If there are any un-answered questions on this application

More information

Dear prospective FUN volunteer,

Dear prospective FUN volunteer, Dear prospective FUN volunteer, Thank you for your interest in the FUN volunteer program at Fernbank Museum of Natural History. FUN volunteers are essential to many of our educational programs, as well

More information

2018 MARSHALL COUNTY LAW ENFORCEMENT YOUTH CAMP APPLICATION

2018 MARSHALL COUNTY LAW ENFORCEMENT YOUTH CAMP APPLICATION 2018 MARSHALL COUNTY LAW ENFORCEMENT YOUTH CAMP APPLICATION Law Enforcement agencies from across Marshall County will sponsor and provide a Law Enforcement Youth Camp for students this year on the dates

More information

Code of Conduct. Address Date. College/Church/Organization Name

Code of Conduct. Address Date. College/Church/Organization Name Code of Conduct BRING THIS SIGNED FORM TO ORIENTATION WITH YOU. Thank you for supporting choosing to serve with John & Vera Mae Perkins Foundation(JVMPF). As we partner together in Christian service, we

More information

4-H Youth Development Team Coordinator 4-H Community Educator

4-H Youth Development Team Coordinator 4-H Community Educator Wayne County 1581 Route 88N Newark, NY 14513 p. 315.331.8415 f. 315.331.8411 www.ccewayne.org Dear 4-H Families, Welcome to Wayne County 4-H! It is a very exciting time of the year to join 4-H; new projects

More information

Thank you for your interest in the Yorba Linda Public Library Children's Services Summer Volunteer Program!

Thank you for your interest in the Yorba Linda Public Library Children's Services Summer Volunteer Program! Thank you for your interest in the Yorba Linda Public Library Children's Services Summer Volunteer Program! The Children's Services summer volunteer program provides positive and fun community service

More information

THE AMERICAN CENTER OF ORIENTAL RESEARCH AMMAN, JORDAN

THE AMERICAN CENTER OF ORIENTAL RESEARCH AMMAN, JORDAN THE AMERICAN CENTER OF ORIENTAL RESEARCH AMMAN, JORDAN ACOR-CAORC POST-GRADUATE RESEARCH FELLOWSHIPS & NEH RESEARCH FELLOWSHIP GRANT INFORMATION FOR APPLICANT 2011 2012 (Please read carefully) I. Eligibility

More information

Singers ONSTAGE! Registration Form

Singers ONSTAGE! Registration Form Singers ONSTAGE! Registration Form Student Information Full Name City State Zip Home Phone Date of Birth Grade (as of 9/1/15) Gender (circle one): Male Female Each registration includes two T-shirts, professional

More information

MESA COMMUNITY COLLEGE. Information Packet 2018 YOUTH COLLEGE. Workshop I & II - Please fill out the following forms and bring to your Audition Time:

MESA COMMUNITY COLLEGE. Information Packet 2018 YOUTH COLLEGE. Workshop I & II - Please fill out the following forms and bring to your Audition Time: MESA COMMUNITY COLLEGE Information Packet 2018 YOUTH COLLEGE Workshop I & II - Please fill out the following forms and bring to your Audition Time: o 14 years and older Need to provide picture ID for Student

More information

U.S. Army Aeromedical Research Laboratory Gains in the Education of Mathematics and Science Program PARTICIPANT APPLICATION

U.S. Army Aeromedical Research Laboratory Gains in the Education of Mathematics and Science Program PARTICIPANT APPLICATION To be considered for acceptance into the 2013 GEMS program, submit the following: 1. The Participant Application 2. The Participant Essay 3. The Participant Release Form 4. Participant Safety Information

More information

2 SESSIONS!!! Sign up for one OR both!

2 SESSIONS!!! Sign up for one OR both! ARTS Camp for 5-13 year olds!!! Campers choose THREE classes: Art, Hip-Hop Dance, Modern Dance, Theater, Video, Singing, Rap, Creative Writing, and Guitar (for 10 and up). There is an Art Exhibit & Performance

More information

EQUINE PROGRAM SUMMER VOLUNTEER APPLICATION HOME PHONE: T-SHIRT SIZE (circle one): SMALL MEDIUM LARGE X-LARGE XX-LARGE

EQUINE PROGRAM SUMMER VOLUNTEER APPLICATION HOME PHONE: T-SHIRT SIZE (circle one): SMALL MEDIUM LARGE X-LARGE XX-LARGE EQUINE PROGRAM SUMMER VOLUNTEER APPLICATION VOLUNTEER NAME: BIRTH DATE: / / MAILING ADDRESS: CITY: STATE: ZIP: CELL PHONE: HOME PHONE: EMIAL ADDRESS: T-SHIRT SIZE (circle one): SMALL MEDIUM LARGE X-LARGE

More information

COUNTY OF YOLO OFFICE OF THE DISTRICT ATTORNEY JEFF W. REISIG, DISTRICT ATTORNEY CITIZENS ACADEMY APPLICATION PROCESS

COUNTY OF YOLO OFFICE OF THE DISTRICT ATTORNEY JEFF W. REISIG, DISTRICT ATTORNEY CITIZENS ACADEMY APPLICATION PROCESS COUNTY OF YOLO OFFICE OF THE DISTRICT ATTORNEY JEFF W. REISIG, DISTRICT ATTORNEY CITIZENS ACADEMY APPLICATION PROCESS Please complete and return the following forms. You may fill the forms out online,

More information

Please feel free to contact me at (410) if you have any questions regarding your application. Thanks again for thinking of Sinai Hospital!

Please feel free to contact me at (410) if you have any questions regarding your application. Thanks again for thinking of Sinai Hospital! July 2017 Dear Student, Thank you for your interest in Sinai Hospital s Student Fall Volunteer Program! As a healthcare family dedicated to our community, we are excited to help facilitate your hands-on

More information

YOUTH VOLUTEERS. Dear Parent and Prospective Teen Volunteer:

YOUTH VOLUTEERS. Dear Parent and Prospective Teen Volunteer: YOUTH VOLUTEERS Dear Parent and Prospective Teen Volunteer: Thank you for your interest in the Zoo Miami Foundation Teen Volunteer program! The Zoo Miami Foundation Teen Volunteer program is an exciting

More information

2018 JUNIOR POLICE ACADEMY

2018 JUNIOR POLICE ACADEMY 2018 JUNIOR POLICE ACADEMY Chief Brian Spring Academy Dates: July 9 th July 13 st Eligibility: Pequannock Students that have graduated from the 6th, 7th or 8th grade. Location: Pequannock First Aid Squad

More information

Children s Hospital Los Angeles Application for Summer Junior Volunteer Program 2018 (15-17 years of age)

Children s Hospital Los Angeles Application for Summer Junior Volunteer Program 2018 (15-17 years of age) Children s Hospital Los Angeles Application for Summer Junior Volunteer Program 2018 (15-17 years of age) Dear Volunteer Applicant: Thank you for your interest in becoming a Junior Volunteer at Children

More information

DISTRICT 205 STUDENTS ARE FREE

DISTRICT 205 STUDENTS ARE FREE The Rockford Area Arts Council offers RAAC Camp for students ages 5-13. Students will participate in three classes per day and present a performance and art exhibit for family and friends on Thursday,

More information

Georgetown Police Department 2018 Junior Police Academy Application

Georgetown Police Department 2018 Junior Police Academy Application Georgetown Police Department Application Application Deadline: Friday, April 27, 2018 by 5:00pm. There are 25 slots available for each camp, so don t delay in turning in your application. Applications

More information

If you are currently a High School Senior. you will complete a general volunteer application, not this one.

If you are currently a High School Senior. you will complete a general volunteer application, not this one. 2018 North Cypress Medical Center Junior Volunteer Packet Must be a Current High School Sophomore or Junior If you are currently a High School Senior you will complete a general volunteer application,

More information

SHAWNEE COUNTY SHERIFF S OFFICE WORKING TOGETHER FOR OUR KIDS

SHAWNEE COUNTY SHERIFF S OFFICE WORKING TOGETHER FOR OUR KIDS SHAWNEE COUNTY SHERIFF S OFFICE WORKING TOGETHER FOR OUR KIDS JUNE 4 th - 8 th JUNE 11 th - 15 th JUNE 18 th 22 nd Seaman High School Shawnee Heights High School Washburn Rural High School 8:00am-12:00pm

More information

College of Health Drug/Alcohol Policy

College of Health Drug/Alcohol Policy College of Health Drug/Alcohol Policy All dental and nursing students are expected to be free from any influence of drugs and/or alcohol while in class and during all clinical/lab experiences. All dental

More information

Please complete this application by pen (print) or typewriter in its entirety. PERSONAL INFORMATION. First MI Last. Street City State Zip

Please complete this application by pen (print) or typewriter in its entirety. PERSONAL INFORMATION. First MI Last. Street City State Zip Qualified applicants are considered for all positions without regard to race, color, religion, gender, national origin, age, covered veteran's status, marital status, or the presence of a non-job-related

More information

2017 VolunTEEN Scheduling Form. SHIRT SIZE: S M L XL XXL **sizes run big

2017 VolunTEEN Scheduling Form. SHIRT SIZE: S M L XL XXL **sizes run big 2017 VolunTEEN Scheduling Form NAME: PHONE #: SHIRT SIZE: S M L XL XXL **sizes run big Indicate below your preference of shift by numbering the blocks by 1 st, 2 nd and 3 rd choice. If you have two first

More information

Please Print Affiliation (school, company name, etc): Mailing Address: City: Postal Code: Home Phone: Cell Phone: Work: Date of Birth (DD/MM/YY):

Please Print Affiliation (school, company name, etc): Mailing Address: City: Postal Code: Home Phone: Cell Phone: Work: Date of Birth (DD/MM/YY): Name: Volunteer Application Thank you for your interest in volunteering with Habitat for Humanity Wellington Dufferin Guelph. The information you provide will help us to place you in a volunteer position

More information

SUMMER. Mt. Vernon Department of Recreation CAMP JULY & AUGUST

SUMMER. Mt. Vernon Department of Recreation CAMP JULY & AUGUST Mt. Vernon Department of Recreation SUMMER 2016 JULY & AUGUST RICHARD THOMAS Mayor Darren M. Morton, Ed. D. Commissioner Diane Atkins, MPA Deputy-Commissioner CAMP MOUNT VERNON RECREATION OFFICE HOURS

More information

SEALSfit Program Application April 10, 2017 to May 26, 2017 (Classes held Mon, Weds, Fri -- 4pm-6pm, every week, including holidays)

SEALSfit Program Application April 10, 2017 to May 26, 2017 (Classes held Mon, Weds, Fri -- 4pm-6pm, every week, including holidays) Dear Student, The Portland Police Department and the Maine Leadership Institute invite you to apply for participation in our spring 2017 SEALSFit Leadership Training Program, which runs from April 10 th

More information

The Alaska Youth Academy Application

The Alaska Youth Academy Application The Alaska Youth Academy Application Email to katina.charles@tananachiefs.org by June 30 th, 2016 Personal Information Please write in or circle your answer. Name: (First) (Middle) (Last ) Date of Birth

More information

VOLUNTEER APPLICATION

VOLUNTEER APPLICATION VOLUNTEER APPLICATION Name: Age: Date of Birth: Social Security : Address: City: State: Zip Phone: Work: Cell: Email Address: How can we reach you? Home phone Cell phone Text Email Work phone Employer/School:

More information

Deadline for application: April 1-29, Dear Summer Teen Applicant:

Deadline for application: April 1-29, Dear Summer Teen Applicant: Deadline for application: April 1-29, 2016 Dear Summer Teen Applicant: Thank you for your interest in the Summer VolunTeen Program at Methodist Healthcare. Positions are available at Methodist University,

More information

201 Chief Michael Feeney

201 Chief Michael Feeney 2016 Applicants please fill out this application in its entirety and return to the Ridgewood Police Desk at 131 North Maple Avenue before June 1, 2016. A fee of $50.00 per applicant will be assessed as

More information

ZooCrew Registration Packet Summer ZooCrew

ZooCrew Registration Packet Summer ZooCrew Summer ZooCrew Check the weeks you would like to sign your child(ren) up for ZooCrew: 4 & 5 year olds* Week of 7/18 In My Backyard Week of 8/1 Once Upon a Story Week of 8/15 Where the Wild Things Are 6

More information

STEPS FOR COMPLETING THE SERVICE LEARNING PACKET PLEASE READ ALL of the information contained in this document carefully.

STEPS FOR COMPLETING THE SERVICE LEARNING PACKET PLEASE READ ALL of the information contained in this document carefully. STEPS FOR COMPLETING THE SERVICE LEARNING PACKET PLEASE READ ALL of the information contained in this document carefully. Fully and accurately complete the three requirements outlined for the CAVE Service

More information

Dear Volunteen Applicant:

Dear Volunteen Applicant: Dear Volunteen Applicant: Thank you for your interest in volunteering at Marian Regional Medical Center. Our Volunteen Program is for current high school students who are at least 14 years old. Please

More information

General Information & Preparation

General Information & Preparation Ponderosa Retreat Parent Information Please Keep This Information Paper for your Reference All Other Forms, with $50 Payment, Turn-in by Friday, August 17 All Other Forms Must be Signed to be Valid General

More information

Please complete the following forms, which are mandatory, to become an IU Health volunteer. Your packet includes the following:

Please complete the following forms, which are mandatory, to become an IU Health volunteer. Your packet includes the following: Volunteer Services Dear Applicant: Thank you for your interest in the Indiana University Health Volunteer program for Methodist Hospital, Riley Hospital for Children, University Hospital and IU Simon Cancer

More information

Cross Cultural Retreat

Cross Cultural Retreat Cross Cultural Retreat 2017 September 22-24, 2017 Cross Cultural Retreat CSUDH Cross Cultural Retreat September 22-24, 2017 What is the Cross Cultural Retreat? Fun, new-found friendships, awareness, and

More information

Rotary District 5180/5190 RYLA REGISTRATION FORM 2018

Rotary District 5180/5190 RYLA REGISTRATION FORM 2018 Rotary District 5180/5190 RYLA REGISTRATION FORM 2018 ROTARY CLUB OF: ROTARY CLUB CONTACT: This form must be completed in full and signed by the student as well as a parent or legal guardian in multiple

More information

2017 Recruit Class. Vernon Junior Police Academy

2017 Recruit Class. Vernon Junior Police Academy 2017 Recruit Class Vernon Junior Police Academy Monday, August 14 th through Friday, August 18 th Location: Vernon Police Athletic League (PAL) 25 Church Street, Vernon NJ Academy Times: 8:00am-12:00pm

More information

Parma High School Washington, DC Trip 2018

Parma High School Washington, DC Trip 2018 Parma High School Washington, DC Trip 2018 Dear Parents: Please find the attached Parents Approval Form Educational Trips Overnight / Out-of-State / Out-of-the-Country. Parents are asked to neatly print

More information

2014 MASH CAMP. June 9-12 Basic (15 student limit) Grades 9-12 June Advanced (15 student limit) Juniors/Seniors ONLY

2014 MASH CAMP. June 9-12 Basic (15 student limit) Grades 9-12 June Advanced (15 student limit) Juniors/Seniors ONLY MEDICAL CAMP 2014 MASH CAMP Medical Avenues to Services in Health (M*A*S*H) programs are designed to educate High School students about the possibility of pursuing a career in the health service field

More information

2018 Returning Volunteer Staff Application

2018 Returning Volunteer Staff Application 2018 Returning Volunteer Staff Application Camp is a life-changing experience. Thank you for your interest in volunteering at Camp UKANDU. We are currently looking for uniquely qualified candidates to

More information

Huntington University Nursing Career Academy Application Process Summer 2015

Huntington University Nursing Career Academy Application Process Summer 2015 Application Process Eligibility Requirements: applicants must be in 10 th, 11 th, or 12 th grade during the 2014-2015 academic school year and be interested in exploring a career in nursing. Program cost:

More information

Student Participant Health Form

Student Participant Health Form Participant Name: Male Female Birth Age on arrival at program Month/Day/Year To Parent(s)/Guardian(s): Please follow the instructions below. Attach additional information if needed. 1. 2. Complete pages

More information

Basic Rope Rescue Registration Packet

Basic Rope Rescue Registration Packet Basic Rope Rescue Registration Packet CHECK OFF LIST Name: Department: Phone # (Day) (Night): These items must be completed and returned with your application. Incomplete applications will not be processed.

More information

Please return the completed application to me at the address shown below or .

Please return the completed application to me at the address shown below or  . Dear Student, Thank you for your interest in becoming a volunteer at Concord Hospital. We believe we can offer you a meaningful experience you will find personally rewarding, while contributing to your

More information

Peoria PlayHouse Children s Museum Volunteer Application

Peoria PlayHouse Children s Museum Volunteer Application Peoria PlayHouse Children s Museum Volunteer Application Thank you for your interest in volunteering at the PlayHouse Children s Museum! Volunteers play a vital role in the success of our museum and we

More information

Application Deadline is Thursday April 13, Complete (include

Application Deadline is Thursday April 13, Complete (include Dear Junior Volunteer Applicant, Thank you for your interest in participating in the 2017 Junior Volunteer Program at Pardee Hospital. Your service is greatly appreciated by our staff, patients, and their

More information

City of Pasadena HOW TO GET INVOLVED: Parks and Recreation Department. Adaptive Recreation Division: Verne Cox Multipurpose Recreation Center (VCMRC)

City of Pasadena HOW TO GET INVOLVED: Parks and Recreation Department. Adaptive Recreation Division: Verne Cox Multipurpose Recreation Center (VCMRC) 2018 City of Pasadena Parks and Recreation Department Adaptive Recreation Division: Verne Cox Multipurpose Recreation Center (VCMRC) HOW TO GET INVOLVED: Completely review, fill out and sign this packet.

More information

Junior Volunteer Program

Junior Volunteer Program 5126 Hospital Drive Covington, GA 30014 Tel: 770.788.6553 Andrea.Lane@piedmont.org Junior Volunteer Program Information Packet Piedmont Newton Hospital Volunteer Services Summer 2016 June 13 July 22 1

More information

The Debutante Process

The Debutante Process The Debutante Process The Arlington Foundation for Excellence in Education, formally the Xi Theta Omega Foundation, in conjunction with the Xi Theta Omega Chapter of Alpha Kappa Alpha Sorority, Inc. appreciates

More information

Please return your completed application to

Please return your completed application to Dear Potential Volunteer, Thank you for your interest in volunteering with Charlotte Pediatric Clinic. Volunteers are an important part of our team and help us in many ways. We appreciate everyone who

More information

2011 Summer Internship Application

2011 Summer Internship Application 2011 Summer Internship Application Teen Career Connection is an eight-week professional internship program. Following intensive preparation, participants complete a 5-week paid summer internship at a New

More information

Camp TOV Medical Form

Camp TOV Medical Form Mail: Fax: Please send these forms to us by either: Jewish United Fund/Jewish Federation of Metropolitan Chicago Attn: Camp TOV 30 South Wells Street, Room 5034 Chicago, IL 60606 Attn: Camp TOV 312-444-2086

More information

Camp Hero Registration 2017

Camp Hero Registration 2017 Camp Hero Registration 2017 Camp Hero my child will be attending: June 5 9 (Joint Base Pearl Harbor Hickam location) June 26 30 (Marine Corps Base Hawaii location) I would like to register for the Extended

More information

2015 Summer Camp Counselor Staff Application Monday, June 29, 2015 Friday July 31, Camp Closed: FRIDAY, July 3, 2015

2015 Summer Camp Counselor Staff Application Monday, June 29, 2015 Friday July 31, Camp Closed: FRIDAY, July 3, 2015 Town of Crawford 121 State Route 302 Pine Bush, N.Y. 12566 2015 Summer Camp Counselor Monday, June 29, 2015 Friday July 31, 2015. Camp Closed: FRIDAY, July 3, 2015 HOURS: 8:30 am 1:15 pm DAILY This is

More information

Kennedy King College-Minority Science and Engineering Improvement Program 2013

Kennedy King College-Minority Science and Engineering Improvement Program 2013 Dear Student & Parent/Guardian: This is the Application Packet for the Minority Science and Engineering Improvement Program at Kennedy King College. All documents within this packet must be completed and

More information

Project Aerospace ACE Academy Application

Project Aerospace ACE Academy Application Project Aerospace ACE Academy Application Location: (s): The OBAP Aviation Career Education (ACE) Academy is designed to provide a more in-depth look at the aviation industry for students who truly want

More information

The Youth Empowerment Program Wants You!

The Youth Empowerment Program Wants You! The Youth Empowerment Program Wants You! Are you interested in a career in healthcare? Join us for a fun filled after school program geared to prepare you for a future in health care. The program is open

More information

The Alaska Youth Academy Application

The Alaska Youth Academy Application The Alaska Youth Academy Application Email to katina.charles@tananachiefs.org by June 26 th, 2015 Personal Information Please write in or circle your answer. Name: (First) (Middle) (Last ) Date of Birth

More information

Watermarks MS/HS Camp Information

Watermarks MS/HS Camp Information Watermarks MS/HS Camp Information When: Friday, November 13 - Sunday, November 15 Where: Watermarks Camp in Scottsville, VA (just south of Charlottesville) Cost: $110 Register by November 2. We will leave

More information

To begin the application process, please complete the enclosed application and bring it with you to one of our weekly meetings.

To begin the application process, please complete the enclosed application and bring it with you to one of our weekly meetings. Dear Explorer Applicant, We are pleased that you have shown interest in the Miramar Police Department Explorer Program. The Explorer program is the best program that young men and women can become involved

More information

Palmetto Health Tuomey Student Volunteer Application Application to be completed by the student, NOT the parent. Full Name: Phone: (

Palmetto Health Tuomey Student Volunteer Application Application to be completed by the student, NOT the parent. Full Name: Phone: ( 1 Palmetto Health Tuomey Student Volunteer Application Application to be completed by the student, NOT the parent. Full Name: Phone: ( ) Email address: Cell Phone: ( ) Address: City: Zip: Social Security

More information

2017 Summer Volunteen Program Application Checklist

2017 Summer Volunteen Program Application Checklist Application Checklist The 2017 Summer Volunteen Program will be held from June 5 July 27, 2017 (one four-hour shift Monday through Thursday), with a one-week break from July 3 July 7, 2017. Interviews

More information

225 Williamson Street Elizabeth, NJ Name: Last First. Home Address: City State Zip Code

225 Williamson Street Elizabeth, NJ Name: Last First. Home Address: City State Zip Code 225 Williamson Street Elizabeth, NJ 07207 APPLICATION FOR MEDICAL MENTOR PROGRAM AT TRMC Name: Last First : Home Address: City State Zip Code of Birth: Home Phone: Are you Male or Female? (circle one)

More information

Claremont Police Department. Explorer Post #411. Application

Claremont Police Department. Explorer Post #411. Application Claremont Police Department Explorer Post #411 Application 570 W. Bonita Ave. Claremont, CA 91711 (909) 399-5411 Dear Applicant, Thank you for your interest in the Claremont Police Explorer program. Please

More information

2018 Recruit Class. Denville Junior Police Academy

2018 Recruit Class. Denville Junior Police Academy 2018 Recruit Class Denville Junior Police Academy Monday, July 16 th through Frida, July 20 th Morris Knolls High School 50 Knoll Drive, Rockaway, NJ 8:00 a.m. to 4:00 p.m. Fee: $50.00 (to be collected

More information

Frank Augustus Miller Middle School. Color Guard Team

Frank Augustus Miller Middle School. Color Guard Team Frank Augustus Miller Middle School Color Guard Team 2017 2018 Frank A. Miller Middle School Color Guard 17925 Krameria Ave. Riverside CA 92504 (951) 789-8181 Beth Salyers Color Guard Advisor Dear Parents,

More information

Chico State Intelligent Systems Lab Summer Robotics Camp General Information

Chico State Intelligent Systems Lab Summer Robotics Camp General Information Chico State Intelligent Systems Lab Summer Robotics Camp 2004 General Information The Chico State Intelligent Systems Lab (ISL) has developed a week long, interactive Summer Robotics Camp to provide girls

More information

Youth in Philanthropy STUDENT APPLICATION

Youth in Philanthropy STUDENT APPLICATION 2014-2015 Youth in Philanthropy STUDENT APPLICATION The application deadline is September 22, 2014. Please keep in mind applications that are incomplete and/or received after the deadline will not be considered.

More information

CRANFORD POLICE DEPARTMENT YOUTH POLICE ACADEMY

CRANFORD POLICE DEPARTMENT YOUTH POLICE ACADEMY YOUTH POLICE ACADEMY June 25-29, 2018 8:00 AM 3:00 PM Available to Cranford students graduating 6 th, 7 th, and 8 th grades Learn about the Cranford Police Department and other local, state, and federal

More information

SANTA ROSA POLICE DEPARTMENT APPLICATION FOR "RIDE-ALONG" PROGRAM

SANTA ROSA POLICE DEPARTMENT APPLICATION FOR RIDE-ALONG PROGRAM Date of application: SANTA ROSA POLICE DEPARTMENT APPLICATION FOR "RIDE-ALONG" PROGRAM Ride-Along Observers must be 16 years of age or older AND must reside within the jurisdictional limits of the City

More information

Junior Volunteer Program

Junior Volunteer Program 5126 Hospital Drive Covington, GA 30014 Tel: 770.788.6553 Alecia.Brooks@piedmont.org Junior Volunteer Program Information Packet Piedmont Newton Hospital Volunteer Services Summer 2018 June 5 July 20 1

More information

Parent/Guardian Names: Cell Phone: School: Parent/Guardian Signature: Date:

Parent/Guardian Names: Cell Phone: School: Parent/Guardian Signature: Date: SPIRIT OF AMERICA BOATING SAFETY PROGRAM Offered by Sailing Center Chesapeake & St. Mary s College of Maryland Open to students who have completed 6 th, 7 th, or 8 th grades in 2017. Summer 2017 Student

More information

P.A.W.S JUNIOR VOLUNTEER INFORMATION

P.A.W.S JUNIOR VOLUNTEER INFORMATION Dear Prospective Junior Volunteer, P.A.W.S JUNIOR VOLUNTEER INFORMATION Thank you for your interest and support in helping P.A.W.S. and our animals! Until we find forever homes for the animals in our care,

More information

HUSTON-TILLOTSON UNIVERSITY ENVIRONMENTAL RESCUE ROBOTICS CAMP REGISTRATION FORM

HUSTON-TILLOTSON UNIVERSITY ENVIRONMENTAL RESCUE ROBOTICS CAMP REGISTRATION FORM REGISTRATION FORM 9 th -12 th Grade Girls PROGRAM DATES: July 29-August 2, 2013, 9:00 am-4:00 pm. APPLICATION DEADLINE: June 7, 2013 (May 31 for early decision and scholarship opportunities) PROGRAM COST:

More information

2017 Summer Camp Registration

2017 Summer Camp Registration 1515 N. Galloway Avenue Mesquite, Texas 75150 972.216.6260 www.cityofmesquite.com 2017 Summer Camp Registration Please select which camp your child(ren) will be attending BLAST Camp Sports Camp Teen Camp

More information

A Total Commitment is Required Including Attending All Practices and Games

A Total Commitment is Required Including Attending All Practices and Games DANCE TEAM AUDITION INFORMATION A Total Commitment is Required Including Attending All Practices and Games WHEN: Saturday, August 26 9 a.m. 3 p.m. WHERE: Aspen Athletic Club 61 st & S. Memorial Dr. Tulsa,

More information

1) INFORMATION ABOUT THE PARTICIPANT AND ACTIVITY

1) INFORMATION ABOUT THE PARTICIPANT AND ACTIVITY 2016-17 South Carolina 4-H Membership and Event Permission Form for Youth (Updated 08.01.16) ALL elements of this form must be completed by youth participating in clubs, field trips, events requiring group

More information

High School Theatre Camp Texas Tech University

High School Theatre Camp Texas Tech University High School Theatre Camp Texas Tech University July 8-21, 2018 THEATRE CAMP Audition, rehearse, and perform in a one act play in the Maedgen Theatre at Texas Tech. Work with three outstanding directors

More information

Discovery Guide Program

Discovery Guide Program CENTRAL PARK ZOO EDUCATION DEPARTMENT Discovery Guide Program To The Applicant: Becoming a Discovery Guide at Central Park Zoo can be an exciting and rewarding volunteer experience. As a Discovery Guide,

More information

Junior Baseball Spring 2017 Ages 8 & 9

Junior Baseball Spring 2017 Ages 8 & 9 ACTIVITY NUMBER: 10402 Department of Parks & Recreation Recreation Division 101 Field Point Road - Greenwich, CT 06836-2540 Phone: (203) 618-7649 Email: Recreation@greenwichct.org Junior Baseball Spring

More information

Camp Rainbow Application 2016

Camp Rainbow Application 2016 Camp Rainbow Application 2016 Thank you for your interest in being a Camp Rainbow Volunteer! We hope that volunteering for Camp Rainbow will be a life-changing experience for you as you guide a grieving

More information

YOU! SPLASHWAY WANTS. JoinSplashway.com We are family. SUBMIT YOUR APPLICATION NOW. DEADLINE IS WEDNESDAY, MARCH 9 TH.

YOU! SPLASHWAY WANTS. JoinSplashway.com We are family. SUBMIT YOUR APPLICATION NOW. DEADLINE IS WEDNESDAY, MARCH 9 TH. SPLASHWAY WANTS YOU! Must be dedicated to: SCAN HERE Fill out online application. TEAMWORK GUEST SERVICE INITIATIVE JoinSplashway.com We are family. Applications should be submitted ONLINE or at your local

More information

6 th GRADE CAMP 2016 AUGUST 1 - AUGUST 5, 2016 REGISTRATION/PAYMENT INFORMATION

6 th GRADE CAMP 2016 AUGUST 1 - AUGUST 5, 2016 REGISTRATION/PAYMENT INFORMATION 6 th GRADE CAMP 2016 AUGUST 1 - AUGUST 5, 2016 REGISTRATION/PAYMENT INFORMATION 6 th Grade Camp is for students entering the 6 th grade during the Fall of 2016. I will be attending with (circle one): Woodway

More information

Response Team Volunteer Application

Response Team Volunteer Application Thank you for your interest in volunteering. The ASPCA Response Team is a group of specially trained staff members and volunteers who respond to man-made and natural disasters throughout the country. Please

More information

Good News Hope & Help, Inc. Scholarship Application Form DEADLINE Friday, April 26, 2019

Good News Hope & Help, Inc. Scholarship Application Form DEADLINE Friday, April 26, 2019 Good News Hope & Help, Inc. Scholarship Application Form 2018-2019 DEADLINE Friday, April 26, 2019 PROGRAM OVERVIEW Honoring the past by looking positively into the future -- that is the basis for the

More information

ADOPT-A-TRAIL APPLICATION

ADOPT-A-TRAIL APPLICATION ADOPT-A-TRAIL APPLICATION INTRODUCTION RIVERSIDE COUNTY REGIONAL PARK & OPEN-SPACE DISTRICT ADOPT-A-TRAIL PROGRAM The Adopt-A-Trail (AAT) program was developed by the Riverside County Regional Park & Open-Space

More information

Southern Colorado Animal Rescue DBA: Black Forest Animal Sanctuary at Hunting Crest Farms, LLC. VOLUNTEER AGREEMENT AND WAIVER FORM

Southern Colorado Animal Rescue DBA: Black Forest Animal Sanctuary at Hunting Crest Farms, LLC. VOLUNTEER AGREEMENT AND WAIVER FORM Thank you for considering being a volunteer of the Southern Colorado Animal Rescue (SCAR) DBA Black Forest Animal Sanctuary (BFAS). Additional information on volunteering can be found on our website at:

More information

Study Abroad Checklist

Study Abroad Checklist Study Abroad Checklist Name: Cell: Email: Semester/Year of Interest: _ Host Program: _ Major: Home Phone: Year in College (circle): FR SO JR SR Academic Advisor: Host Country and City: 1. 2. 3. Meet with

More information