CITY OF WHITTIER Parks, Recreation & Community Services Department Volunteen Program

Size: px
Start display at page:

Download "CITY OF WHITTIER Parks, Recreation & Community Services Department Volunteen Program"

Transcription

1 Parnell Park Community and Senior Center Lambert Road, Whittier (562) Fax (562) Application Deadline: Thursday, May 14, 2015

2 Parks, Recreation & Community Services Department Volunteen Program PURPOSE: To provide a mentorship and leadership training program for Whittier teens ages years interested in enhancing life and work skills and gaining on-the-job training. Staff will emphasize leadership development, teamwork, and professionalism. To provide an opportunity for teens to work side by side with the recreation staff in the City s summer programs and camps. To provide an opportunity for teens to be involved in the community and make a difference in recreation programs while earning community service credit. PROGRAM DESCRIPTION: Volunteens will be assigned to various recreational summer programs and supervised while assisting with the planning and facilitation special events, youth, and senior recreational activities. Volunteens must be able to commit to working assigned hours with the exception of up to a twoweek, pre-approved vacation time. After successful completion of the Volunteen Program, each Volunteen will receive verification of hours and receive a certificate of completion. In addition, If the Volunteen is unable to attend any mandatory training days for the program for which he/she wishes to volunteer, he/she may forfeit the position as a Volunteen and will not be eligible to collect any community service hours performed. SELECTION PROCEDURE: Volunteen applications are available at the Whittier Community Center, Palm Park Aquatics Center, Senior Center, Parnell Park Community & Senior Center, and online at Volunteens must be between the ages of years (as of June 8, 2015). Fingerprints maybe required for students 16 years of age. Volunteens will be selected for their assignments based on their maturity, skills, leadership experience, and schedule availability. It is at staff s discretion to place or not place Volunteens in a specific program. RESPONSIBILITIES: Volunteens must adhere to the rules and behavioral policies outlined in the Volunteen Contract. Volunteens must attend all mandatory trainings, meetings, and scheduled shifts. Volunteens will show respect toward the staff, their peers, and the children with whom they work. Volunteens will participate and complete assigned tasks to the best of their ability.

3 Parks, Recreation & Community Services Department VOLUNTEEN APPLICATION NAME: DATE OF BIRTH: / / ADDRESS: (Street) (City) (Zip Code) HOME PHONE: ( ) VOLUNTEEN CELL: ( ) SCHOOL (CURRENT): GRADE: T-SHIRT SIZE: School activities in which I have participated: Other related activities (church, scouts, service clubs, etc.): Please describe any other interests or hobbies: Have you taken a CPR course? Yes No If yes, date of expiration: Dates of summer vacations or other activities (summer school, sports camps, band practice, etc.)?

4 1) Have you previously participated in the Volunteen Program or volunteered in any capacity for the City of Whittier or any other city? Please list your prior volunteer experience: 2) State why you would like to become a Volunteen and note your qualifications: 3) State your expectations of being a Volunteen: I certify that all statements on this application are true and complete to the best of my knowledge. I understand that any false statements will subject me to disqualification or dismissal. Volunteen Name (print) Volunteen Signature Date

5 Parks, Recreation & Community Services VOLUNTEEN CONTRACT Please place your initials on the line next to each statement indicating that you have read and agree to adhere to our policies. As a Volunteen for the City of Whittier, Parks, Recreation, & Community Services Department, I,, (Name) Will be punctual for all programs, special events, and meetings. Will show respect toward the staff, my peers, and the children with whom I work. Inappropriate behavior or offensive language is not to be used at any city activity or event. Will be dependable by working all scheduled shifts and will give a 24-hour notice to the Youth Services Staff should a problem arise that would prevent me from performing my duties. Will actively participate and complete assigned tasks to the best of my ability. Will make efficient use of my time by seeking out ways to help others after completion of my own responsibilities. Will dress appropriately (Volunteen t-shirt and/or other required attire) and maintain a clean appearance. Will maintain a positive attitude and remain flexible to change.

6 Failure to comply with the Volunteen Contract will result in the following consequences: 1 st violation: Verbal warning and review of contract. Staff will discuss the inappropriate behavior or conduct with the Volunteen and review the expectations and responsibilities of his/her position. 2 nd violation: Staff will make a phone call to parent to discuss inappropriate behavior/conduct and/or failure to meet the expectations and responsibilities of the Volunteen Program. 3 rd violation: Potential removal from the Volunteen Program. The Parks, Recreation & Community Services Department reserves the right to handle extreme violations of the Volunteen Contract at their own discretion. I,, have read the above policies and understand that violation of the Volunteen Contract rules may result in disciplinary action, up to and including removal from the Volunteen Program. Volunteen Name (print) Volunteen Signature Date Parent/Guardian Name (print) Parent/Guardian Signature Date

7 RELEASE FROM LIABILITY AND INDEMNIFICATION I hereby agree to indemnify, defend, and hold harmless the City of Whittier, its officers, and employees, agents and volunteers, from and against any and all claims, damages, liability, expenses, and judgments, including attorney s fees, in any way arising from my (or my child s) participation in the program for which I am registering my him or her. This includes, but is not limited to, any claims, damages, liability, expenses, and judgments, including attorney s fees, in any way arising from any medical treatment received by me (or my child) made in connection with my (or my child s) participation in the program for which I am registering him or her. I understand and am familiar with the nature of the activities entailed by my (or my child s) participation in the program for which I am registering him or her. I understand that this program can be dangerous to me (or my child) and I understand that by participating, I (or my child) participate(s) with full knowledge of such risk of danger. I also give my permission to the City of Whittier to photograph me (or my child) participating in this event or activity for advertising purposes for the City of Whittier. I agree that I will not receive any compensation for such use. My signature acknowledges that I understand and agree to the above conditions. Volunteen Name (print) Volunteen Signature Date Parent/Guardian Name (print) Parent/Guardian Signature Date If necessary, please fill out additional medication release form for any medications that need to be taken while at site.

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

Polk County Sheriff s Office

Polk County Sheriff s Office Polk County Sheriff s Office Explorer Post 900 Application Grady Judd, Sheriff Polk County Sheriff s Office 1891 Jim Keene Blvd Winter Haven, FL 33880 (863) 298-6200 www.polksheriff.org Pride In Service

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

Alpharetta Recreation and Parks Department 2018 Wills Park Summer Day Camp Counselor In Training Handbook

Alpharetta Recreation and Parks Department 2018 Wills Park Summer Day Camp Counselor In Training Handbook Alpharetta Recreation and Parks Department 2018 Wills Park Summer Day Camp City of Alpharetta Recreation and Parks Alpharetta Community Center 175 Roswell Street Alpharetta, GA 30009 (678) 297-6100 accprograms@alpharetta.ga.us

More information

FLAT ROCK WARRIORS FOOTBALL REGISTRATION

FLAT ROCK WARRIORS FOOTBALL REGISTRATION FLAT ROCK WARRIORS FOOTBALL REGISTRATION Player Information: Name: (Last, First, Initial) Address: (Street, City, Zip) Mother s Name: Email: Home Phone: Work Phone: Cell Phone: Father s Name: Email: Home

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

Emory Johns Creek Hospital

Emory Johns Creek Hospital Dear Applicant: Thank you for your interest in the 2018 Summer VolunTEEN Program. Due to the large number of students interested in the Program, it is essential that you pay close attention to the information

More information

ST. CHARLES BORROMEO FOUNTAIN OF YOUTH YOUTH MINISTRY PROGRAM

ST. CHARLES BORROMEO FOUNTAIN OF YOUTH YOUTH MINISTRY PROGRAM YOUTH MINISTRY PROGRAM The St. Charles Borromeo Fountain of Youth is a unique Youth Ministry Program open to all young people in St. Charles Borromeo Church Parish in grades 5 12. Junior High Program is

More information

APPLICATION

APPLICATION MAYOR THOMAS C. HENRY CITY OF FORT WAYNE MAYOR S YOUTH ENGAGEMENT COUNCIL 2017-2018 APPLICATION Please mail, deliver or fax completed applications to: MAYOR S OFFICE, ATTN: KAREN L. RICHARDS 200 E. BERRY

More information

2016 Counselor In Training Program Application

2016 Counselor In Training Program Application Town of Poughkeepsie Recreation Department 1 Overocker Road Phone (845) 485-3628 Poughkeepsie, NY 12603 Fax (845) 485-3616 2016 Counselor In Training Program Application Thank you for your interest in

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

Lompoc Police Department Explorer Post #700

Lompoc Police Department Explorer Post #700 Lompoc Police Department Explorer Post #700 APPPPLIICATIION FOR MEMBERSSHIIPP Print legibly all information required and answer all questions as completely and truthfully as possible. After filling out

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

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

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

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

JUNIOR VOLUNTEER SERVICE

JUNIOR VOLUNTEER SERVICE Application is due by April 30 th. Interviews conclude May 18 th Selections made May 31 st Program begins June 4 th Program concludes July 31 st JUNIOR VOLUNTEER SERVICE Thank you for inquiring about the

More information

POLICY NO Volunteer Policy (Replaces Policy Adopted 12/13/2011)

POLICY NO Volunteer Policy (Replaces Policy Adopted 12/13/2011) POLICY NO. 28-01 Volunteer Policy (Replaces Policy Adopted 12/13/2011) Policy Statement Hernando County recognizes that volunteers are essential to the productivity, efficiency and cost effectiveness of

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

PORT OF LOS ANGELES VOLUNTEEN PROGRAM

PORT OF LOS ANGELES VOLUNTEEN PROGRAM Are you a high school student in need of volunteer service hours? Are you looking to expand your resume or college applications? The Port of Los Angeles VolunTEEN Program may be just the program for you!

More information

VolunTEENs ~ Community Services Department

VolunTEENs ~ Community Services Department VolunTEENs ~ Community Services Department The Anaheim Community Services Department summer VolunTEEN program is for teens 13 17 years old who want to make a difference in their community! Teens will have

More information

POLICY NO Volunteer Policy (Replaces Policy Adopted 1/26/1998)

POLICY NO Volunteer Policy (Replaces Policy Adopted 1/26/1998) POLICY NO. 28-01 Volunteer Policy (Replaces Policy Adopted 1/26/1998) Policy Statement Hernando County recognizes that volunteers are essential to the productivity, efficiency and cost effectiveness of

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

NATIONAL LEADERSHIP CONFERENCE RUN4RED 5K WALK/RUN WAIVER

NATIONAL LEADERSHIP CONFERENCE RUN4RED 5K WALK/RUN WAIVER RUN4RED 5K WALK/RUN WAIVER I understand that participation in the Run4Red 5K Walk/Run presents certain risks and hazards, including, but not limited to: muscle strains and sprains, bruises, broken limbs,

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

STATE OFFICER CANDIDATE APPLICATION (Please Print)

STATE OFFICER CANDIDATE APPLICATION (Please Print) DEADLINE: January 31, 2017 Submit by the deadline for DECA State Conference registration materials. NO FAXES WILL BE ACCEPTED ALABAMA DECA HIGH SCHOOL DIVISION STATE OFFICER CANDIDATE APPLICATION (Please

More information

Kairos Retreat for Teens [SFK13] September 22, 23, 24 & 25 th, 2016

Kairos Retreat for Teens [SFK13] September 22, 23, 24 & 25 th, 2016 For Juniors & Seniors in High School What is Kairos? Kairos, which means Lord s Time, is a Christian experience of prayer and reflection, run by a team of adults and trained peer leaders. St. Francis de

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

FAMILY CHRISTIAN CENTER SCHOOL BEFORE and AFTERCARE APPLICATION

FAMILY CHRISTIAN CENTER SCHOOL BEFORE and AFTERCARE APPLICATION : FAMILY CHRISTIAN CENTER SCHOOL BEFORE and AFTERCARE APPLICATION Student Please Print Name Grade: Age: Review the following to ensure completion of the application process. Registration fee (due upon

More information

REGISTRATION DEADLINE: Feb. 9, 2018

REGISTRATION DEADLINE: Feb. 9, 2018 Richland High School Feb. 17, 2018 REGISTRATION DEADLINE: Feb. 9, 2018 Student Name: Home Address: City: State: Zip: Phone: Email: Date of Birth: Gender: Male Female T-shirt size: Ethnicity (optional):

More information

Come join the Youth Ministry for fun, fellowship and a friendly game of softball with other area Catholic High School teens.

Come join the Youth Ministry for fun, fellowship and a friendly game of softball with other area Catholic High School teens. Come join the Youth Ministry for fun, fellowship and a friendly game of softball with other area Catholic High School teens. Who do we play? Other Youth Ministries from the Dallas Diocese When do we play?

More information

Summer 2017 Multimedia Madness Youth Summer Camp Registration Form

Summer 2017 Multimedia Madness Youth Summer Camp Registration Form Summer 2017 Multimedia Madness Youth Summer Camp Registration Form Mail Registration Form & Payment to MCC Business Department, 1833 West Southern Avenue, Mesa AZ 85202. Attn: Lua Maloney. PRIORITY MAIL-IN

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

Please mark your interests above and return to the YMCA Welcome Center

Please mark your interests above and return to the YMCA Welcome Center Volunteerism is the willingness to help others without the expectation of pay or tangible benefit. Are you most interested in: Fulfilling a school or work requirement, if so, how many hours _ Fulfilling

More information

Alexander Bands. o Required forms packet (Medical Form, Code of Conduct, Drug Testing Awareness, Attendance Policy, Video/Photo Permission)

Alexander Bands. o Required forms packet (Medical Form, Code of Conduct, Drug Testing Awareness, Attendance Policy, Video/Photo Permission) Alexander Bands Marching Band Sign-Up Night Checklist Our annual Marching Band sign-up night will be here soon. This year, it will take place on Thursday, April 12 at 6:00pm. You are welcome to complete

More information

COUNTY OF SACRAMENTO Probation Department

COUNTY OF SACRAMENTO Probation Department COUNTY OF SACRAMENTO Probation Department 9750 BUSINESS PARK DRIVE, SUITE 220, SACRAMENTO, CALIFORNIA 95827 TELEPHONE (916) 875-0273 FAX (916) 875-0347 LEE SEALE CHIEF PROBATION OFFICER COUNTY PAROLE OFFICER

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

(For notification purposes)

(For notification purposes) DEADLINE FOR APPLICATION IS MAY 1, 2017 For this award, submit materials to: Attn: S. Pedersen C/O United Way Washtenaw County 2305 Platt Rd. Ann Arbor, MI 48104 Questions? Sheila Pedersen 734-677-7218

More information

COUNTY OF SACRAMENTO Probation Department 3201 FLORIN-PERKINS ROAD, SACRAMENTO, CALIFORNIA TELEPHONE (916) FAX (916)

COUNTY OF SACRAMENTO Probation Department 3201 FLORIN-PERKINS ROAD, SACRAMENTO, CALIFORNIA TELEPHONE (916) FAX (916) RULES AND REGULATIONS The Ride-Along Program offers members of the public the opportunity to interact with officers from our Department. The program seeks to increase public awareness regarding the functions

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

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

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

MISSOURI STATE HIGHWAY PATROL YOUTH ACADEMY PROGRAM June 11 - June 17, 2017 Sunnyhill Adventures - Dittmer, Missouri

MISSOURI STATE HIGHWAY PATROL YOUTH ACADEMY PROGRAM June 11 - June 17, 2017 Sunnyhill Adventures - Dittmer, Missouri MISSOURI STATE HIGHWAY PATROL YOUTH ACADEMY PROGRAM June 11 - June 17, 2017 Sunnyhill Adventures - Dittmer, Missouri APPLICANT NAME: (Last) (First) (Middle) ADDRESS: CITY: STATE: ZIP: EMAIL ADDRESS: AGE:

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

2017 Summer Baseball 6 s & 7 s (co-ed), 8 s & 9 s (co-ed), s (boys)

2017 Summer Baseball 6 s & 7 s (co-ed), 8 s & 9 s (co-ed), s (boys) Department of Parks & Recreation Recreation Division 101 Field Point Road - Greenwich, CT 06836-2540 Phone: (203) 618-7649; Email: Recreation@greenwichct.org ACTIVITY NUMBER: 10403 2017 Summer Baseball

More information

Return Completed Application To: ARISE & Ski, 635 James Street, Syracuse, NY 13203

Return Completed Application To: ARISE & Ski, 635 James Street, Syracuse, NY 13203 ARISE & Ski Volunteer Application We consider applicants for all positions without regard to race, religion, creed, gender, age, disability, marital or veteran status, sexual orientation or any other legally

More information

MARITIME COLLEGE STATE UNIVERSITY OF NEW YORK

MARITIME COLLEGE STATE UNIVERSITY OF NEW YORK MARITIME COLLEGE STATE UNIVERSITY OF NEW YORK Counselor in Training Handbook and Application 2017 I. Program Objective SUNY Maritime College s Waterfront Department Counselor in Training (CIT) Program

More information

TEEN VOLUNTEER APPLICATION. Last Name, First Name, Middle Initial. Home Address ~ Number, Street, Apt. # City State Zip Code

TEEN VOLUNTEER APPLICATION. Last Name, First Name, Middle Initial. Home Address ~ Number, Street, Apt. # City State Zip Code Teen 14 ½ to 17 yrs. old Arrowhead Regional Medical Center 400 N. Pepper Avenue Colton, California 92324 (909) 580-6340 TEEN VOLUNTEER APPLICATION When completing this application, please Print Info. in

More information

Policy Title: Administration of Medication by School Personnel Policy No:

Policy Title: Administration of Medication by School Personnel Policy No: Policy Title: Administration of Medication by School Personnel Policy No: 504.14 The Board of Trustees recognizes that students attending schools in St. Maries Joint School District No. 41 may be required

More information

Football & Cheerleading. Youth Sports Coaches Volunteer Application

Football & Cheerleading. Youth Sports Coaches Volunteer Application Football & Cheerleading Youth Sports Coaches Volunteer Application YOUTH SPORTS VOLUNTEER JOB DESCRIPTION TITLE: DESCRIPTION: Volunteer Coach for Gainesville Parks and Recreation Agency. *Coach of male

More information

THE MOX EE HOP FESTIVAL MISS EAST VALLEY APPLICATION AND SELECTION PROCEDURES 2018

THE MOX EE HOP FESTIVAL MISS EAST VALLEY APPLICATION AND SELECTION PROCEDURES 2018 THE MOX EE HOP FESTIVAL MISS EAST VALLEY APPLICATION AND SELECTION PROCEDURES 2018 Thank you for your interest in the 2018 Moxee Hop Festival Miss East Valley Pageant! If you are interested in developing

More information

MSU Livestock Judging Camps May 12-14, 2018 (Starts-1:00 p.m. May 12) May 28-30, 2018 (Starts-1:00 p.m. May 28) June 2, 2018 Day Camp for ALL AGES

MSU Livestock Judging Camps May 12-14, 2018 (Starts-1:00 p.m. May 12) May 28-30, 2018 (Starts-1:00 p.m. May 28) June 2, 2018 Day Camp for ALL AGES MSU Livestock Judging Camps May 12-14, 2018 (Starts-1:00 p.m. May 12) May 28-30, 2018 (Starts-1:00 p.m. May 28) June 2, 2018 Day Camp for ALL AGES I think it is always important to continue to introduce

More information

Hillsborough County Fire Rescue Reserve Responder Program 9450 E Columbus Ave Tampa, FL Office: Fax:

Hillsborough County Fire Rescue Reserve Responder Program 9450 E Columbus Ave Tampa, FL Office: Fax: Application For Reserve Responder Full Name: Last First M.I. Date Submitted: Street Address Apartment/Unit # City State ZIP Code Email Name As It Appears On Driver s License: Driver s License #: State

More information

2018 SPORTS CAMP REGISTRATION FORM

2018 SPORTS CAMP REGISTRATION FORM 2018 SPORTS CAMP REGISTRATION FORM CHILD NAME: Date of Birth Age T SHIRT SIZE: S M L XL WHAT SESSION(S) ARE YOU REGISTERING FOR (PLEASE CHECK): Jul 9 Jul 13 Jul 16 Jul 20 Jul 23 Jul 27 Aug 13 Aug 17 Aug

More information

South Gwinnett Athletic Association Volunteer Football Coach Application Form

South Gwinnett Athletic Association Volunteer Football Coach Application Form South Gwinnett Athletic Association Volunteer Football Coach Application Form SGAA Football Coaches Mission It is the purpose of the South Gwinnett Athletic Association (SGAA) to encourage the healthy

More information

COMPEER PROGRAM VOLUNTEER APPLICATION

COMPEER PROGRAM VOLUNTEER APPLICATION Spreading Hope, Spurring Action, Supporting Families, Saving Lives! COMPEER PROGRAM VOLUNTEER APPLICATION 3701 Latrobe Drive, Suite 140 Charlotte, NC 28211 Phone 704.365.3454 Fax 704.365.9973 Revised 7/13/2017

More information

State Officer Application - SLC 2016

State Officer Application - SLC 2016 Candidate name: State Officer Application - SLC 2016 Read the following pages of information very carefully. If you have any questions, please call the Florida HOSA State Office at (386) 462-HOSA. Fill

More information

We ll meet in the Youth Room at 2:30 p.m. and we ll return by 6:30 p.m. (depending on traffic)! For students in grades 7-12.

We ll meet in the Youth Room at 2:30 p.m. and we ll return by 6:30 p.m. (depending on traffic)! For students in grades 7-12. For I was hungry and your gave me food, I was thirsty and you gave me something to drink, I was a stranger and you welcomed me. Matthew 25:35 The Dallas Life Foundation is a Christian based homeless shelter

More information

2017 Fall Field Hockey Co-ed, Grades 1-8

2017 Fall Field Hockey Co-ed, Grades 1-8 ACTIVITY NUMBER: 30601 Department of Parks & Recreation Recreation Division 101 Field Point Road - Greenwich, CT 06836-2540 Phone: (203) 618-7649; Email: Recreation@greenwichct.org 2017 Fall Field Hockey

More information

THE 2014 AMERICAN RED CROSS SUMMER YOUTH VOLUNTEER PROGRAM AT THE EVANS ARMY COMMUNITY HOSPITAL FORT CARSON, COLORADO May 27 July 25

THE 2014 AMERICAN RED CROSS SUMMER YOUTH VOLUNTEER PROGRAM AT THE EVANS ARMY COMMUNITY HOSPITAL FORT CARSON, COLORADO May 27 July 25 THE 2014 AMERICAN RED CROSS SUMMER YOUTH VOLUNTEER PROGRAM AT THE EVANS ARMY COMMUNITY HOSPITAL FORT CARSON, COLORADO May 27 July 25 The American Red Cross (ARC) at Fort Carson s Evans Army Community Hospital

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

University Health Services and Safety. Occupational Health & Safety Guideline

University Health Services and Safety. Occupational Health & Safety Guideline Advisory 21.0 Persons under 18 years of age are not allowed in laboratories where hazardous substances (chemicals, biologicals, etc.) are present or physical hazards (very hot or cold temperatures, laser

More information

MINOR Volunteer Application

MINOR Volunteer Application MINOR Volunteer Application (15 years and younger) Parent/Guardian/Legal Custodian Permission for Minor to participate in BPHI Volunteer Program and Consent for Emergency Medical treatment. Broward County

More information

MILLBURY POLICE DEPARTMENT Youth Police Academy

MILLBURY POLICE DEPARTMENT Youth Police Academy MILLBURY POLICE DEPARTMENT Youth Police Academy The Millbury Police Department is hosting its first Youth Police Academy for the summer of 2015! Academy dates are Monday, July 27, 2015 through Friday,

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

Court Referral Program YDAD REGISTRATION

Court Referral Program YDAD REGISTRATION Court Referral Program YDAD REGISTRATION Case Number# : Name: (First) (Middle Name) (Last Name) Address: City: State: Zip: Home Phone: ( ) Cell: ( ) Work Phone: ( ) Fax #: ( ) Email Address: @. Social

More information

2017 FBI TEEN ACADEMY APPLICATION Dallas Division

2017 FBI TEEN ACADEMY APPLICATION Dallas Division 2017 FBI TEEN ACADEMY APPLICATION Dallas Division Name (First, Middle, Last) Grade Level Street Address Home Phone School Activities Student Candidate Information Cell Phone Referred by Community Involvement

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

COMMUNITY SERVICES DEPARTMENT 2018 VolunTEEN Program Information

COMMUNITY SERVICES DEPARTMENT 2018 VolunTEEN Program Information COMMUNITY SERVICES DEPARTMENT 2018 VolunTEEN Program Information The Anaheim Community Services Department provides teens, 13 17 years of age, the opportunity to give back to their community and earn service

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

COUNTY OF SAN BERNARDINO Office of the District Attorney

COUNTY OF SAN BERNARDINO Office of the District Attorney APPLICATION PACKAGE GENERAL VOLUNTEER PROGRAM If you are interested in becoming a General Volunteer at the San Bernardino County District Attorney s Office, please complete this application and mail the

More information

2007 SUMMER VOLUNTEEN PROGRAM APPLICATION PACKET

2007 SUMMER VOLUNTEEN PROGRAM APPLICATION PACKET 2007 SUMMER VOLUNTEEN PROGRAM APPLICATION PACKET The complete application is due back to the Human Resources department at Baptist South no later than the end of day on Monday, April 23 rd. Baptist Medical

More information

Enclosed you will find an application and interest profile that will assist us in making the best use of your interests and talents.

Enclosed you will find an application and interest profile that will assist us in making the best use of your interests and talents. Dear Prospective Volunteer/Chaplain: Thank you for your indication of interest in the Volunteer Services Program at Northeastern Health System Tahlequah. Joining our dedicated team of men and women volunteers

More information

2018 RA Camp Discount Application

2018 RA Camp Discount Application 2018 RA Camp Discount Application Thank you for choosing Reston Association and placing your child(ren) in our care. The intent of the RA Camp Scholarship Program is to provide financial assistance to

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

Dear Zoo Crew Applicant,

Dear Zoo Crew Applicant, 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 www.saginawzoo.com. Please read

More information

Superintendent s Regulation 4400-R Exhibit 1

Superintendent s Regulation 4400-R Exhibit 1 Superintendent s Regulation 4400-R Exhibit 1 School Field Trip Planning Form Instructions All information on this form must be completed before presenting the form for approval to the Principal, School

More information

Georgia CTI. Fall Leadership Conference (FLC)

Georgia CTI. Fall Leadership Conference (FLC) Georgia CTI Fall Leadership Conference (FLC) Evergreen Marriott Resort November 14-15, 2013 4021 Lakeview Drive Stone Mountain, GA 30083-3099 (770) 879-9900 Hotel Reservation Deadline: October 24 Online

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

CITY OF GLENDALE APPLICATION FOR POLICE OFFICER CHECK LIST

CITY OF GLENDALE APPLICATION FOR POLICE OFFICER CHECK LIST CITY OF GLENDALE APPLICATION FOR POLICE OFFICER CHECK LIST Be a U.S. Citizen. To apply you must: Have never been convicted of a felony (unless pardoned) Ability to lawfully possess a firearm Prior to appointment

More information

COOK INLET REGION, INC. TAKE THE NEXT GENERATION TO WORK DAY

COOK INLET REGION, INC. TAKE THE NEXT GENERATION TO WORK DAY COOK INLET REGION, INC. TAKE THE NEXT GENERATION TO WORK DAY GUIDELINES WHY: The next generation is our future, and it is critical that they are prepared to continue our Company s success. We know that

More information

YOUTH POLICE ACADEMY Class II

YOUTH POLICE ACADEMY Class II CITY OF BURLINGTON POLICE DEPARTMENT YOUTH POLICE ACADEMY Class II The City of Burlington Police Department is conducting its Second Youth Police Academy. This program is geared towards teenage students

More information

High School Internship Program for Diverse Students

High School Internship Program for Diverse Students INTRODUCTION AND INSTRUCTION This booklet contains your application for our 2017 High School Internship Program for Diverse Students. Before we will consider your application, we must receive the following

More information

Springfield Police Department CITIZEN RIDE-ALONG PROGRAM

Springfield Police Department CITIZEN RIDE-ALONG PROGRAM Springfield Police Department CITIZEN RIDE-ALONG PROGRAM Ever been curious what it s like to be a police officer? Here s your chance! The Springfield Police Department s ride-along program gives eligible

More information

CITY OF ROSEVILLE, CALIFORNIA ADMINISTRATIVE REGULATION

CITY OF ROSEVILLE, CALIFORNIA ADMINISTRATIVE REGULATION CITY OF ROSEVILLE, CALIFORNIA ADMINISTRATIVE REGULATION APPROVED: Number: A.R. 2.12 Date Effective: April 7, 1999 W. Craig Robinson, City Manager Date Revised: October 4, 2007 SUBJECT: VOLUNTEERS/NON-CITY

More information

Participants The program is open to any person who is years of age. Tuition Tuition for the academy is free for each participant.

Participants The program is open to any person who is years of age. Tuition Tuition for the academy is free for each participant. Club Red Moving the Mission Forward Last name, First Name M.I. American Red Cross Youth Volunteer Application Participants The program is open to any person who is 16 20 years of age. Tuition Tuition for

More information

JUNIOR AMBASSADOR SUMMER PROGRAM APPLICATION Age: Date of Birth: Parent/Guardian s

JUNIOR AMBASSADOR SUMMER PROGRAM APPLICATION Age: Date of Birth:   Parent/Guardian s JUNIOR AMBASSADOR SUMMER PROGRAM APPLICATION - 2016 Name: (Last) (First) (Middle) Date: Address: (Street) (City) (State) (Zip Code) Phone: (H) (C) Age: Date of Birth: E-mail: Parent/Guardian s Email: High

More information

ServiceCorps Youth Application Due by Friday, March 21, pm

ServiceCorps Youth Application Due by Friday, March 21, pm ServiceCorps 2014 The Coatesville Youth Initiative s Summer Service & Leadership Development Program Youth Application Due by Friday, March 21, 2014-4pm www.coatesvilleyouthinitiative.org 2014 Coatesville

More information

Community Life Center

Community Life Center Community Life Center- 2018-2019 Page 2 of 6 MEGA SPORTS CAMP- Waiver & Release Forms Effective Dates: January 1, 2018 January 1, 2019 CHILD S INFORMATION Name Grade Age DOB Male/Female Nickname School:

More information

INDIANA UNIVERSITY GLOBAL GATEWAY FOR TEACHERS REGISTRATION FOR OVERSEAS STUDENT TEACHING

INDIANA UNIVERSITY GLOBAL GATEWAY FOR TEACHERS REGISTRATION FOR OVERSEAS STUDENT TEACHING INDIANA UNIVERSITY GLOBAL GATEWAY FOR TEACHERS REGISTRATION FOR OVERSEAS STUDENT TEACHING 1 - Placement Information Sheet Record all dates as month (spell out), day, and year. First and last name: Birth

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

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

Judy Swartz, Manager Volunteer Services/Community Relations. February Dear Student and Parent/Guardian:

Judy Swartz, Manager Volunteer Services/Community Relations. February Dear Student and Parent/Guardian: February 2018 Dear Student and Parent/Guardian: The Volunteer Office at Deaconess Hospital is accepting applications for Junior Volunteers. The Junior Volunteer Program at Deaconess offers students an

More information

Michael Jordan. Questions? Please contact: Director of Youth Ministry. Phone: x230

Michael Jordan. Questions? Please contact: Director of Youth Ministry. Phone: x230 What: Youth will travel to Idaho to partner with Idaho Servant Adventures, a ministry of Lutherhaven. During this servant-leadership camp, we will work alongside other youth groups repairing and transforming

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

Information about the VPD Cadet Program

Information about the VPD Cadet Program Information about the VPD Cadet Program The VPD Cadet Program provides students in Grades 10-12 attending school within Vancouver a unique opportunity to participate in applied educational workshops, physical

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

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

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

REGISTERED DIETITIAN

REGISTERED DIETITIAN REQUEST FOR PROPOSAL (RFP) BID #HS-018-03 REGISTERED DIETITIAN FOR MOBILE COMMUNITY ACTION, INC. 461 Donald Street Mobile, Alabama 36617 Phone: 251-457-5700 Fax: 251-456-4239 DEADLINE FOR RESPONSES: 4:00pm

More information