Library Pal Application PREREQUISITES
|
|
|
- Arnold Fowler
- 5 years ago
- Views:
Transcription
1 Name Library Pal Application PREREQUISITES prerequisite (prē-rĕk -wĭ-zĭt) noun. Something that is required before something else can happen. 1. By summer 2016, will you have finished one of these grades 5, 6, 7, or 8? Yes No 2. Your training is very important, and it takes place on one day during the first week of Pal shifts, June Can you be there? Yes No 3. Can you commit to missing no more than two shifts between June 13 and July 29? Yes No 4. Do you have a Poudre River Public Library District card? Yes No If you answered all four questions Yes, fill out and turn in the application with this sheet!
2 This page intentionally left blank
3 Please print! staff only: hour and date Summer Reading Program 2016 Library Pals Volunteer Application Must be turned in at Old Town, Harmony, or Council Tree Library by Sunday, May 15, 2016 Name Date of birth address(es) Snailmail address City ZIP Phone School Grade completed by end of this school year I would like to volunteer at Old Town Library / Harmony Library / Council Tree Library. (Circle any or all.) I can volunteer weekly from June 6 through July 29 during any one of the shifts I ve check-marked below. OT Mon Tue Wed Thur Fri 9:30-11: :30-3:30 HARM Mon Thur CT Tues Thur pm I know already that I will NOT be able to volunteer on the following dates between June 13 and July 29: Some of my interests, hobbies, and skills are. Parent/Guardian name(s) Phone where my parent/guardian can be reached during my shift Alternate contact if above person is not available Phone Medical doctor/clinic Phone I understand that in the event of any serious injury or illness of my child, library personnel will make every effort to contact me. If I cannot be reached, I authorize library personnel to sign such waivers as may be necessary to provide emergency medical, surgical, or dental treatment. Parent/Guardian signature Date
4 Pals Volunteer Code of Ethics and Work Agreement I understand that as a Library Pal volunteer in Poudre River Public Library District Old Town, Harmony, or Council Tree, I will be considered a valuable member of the library team and will be expected to assume the responsibilities in my job description. I understand and agree to: * Participate as a reader in the 2016 Poudre River Public Library District Summer Reading Program. * Maintain a neat and clean appearance and dress appropriately for the job I m doing, including wearing a nametag provided by the Library. * Be reliable and punctual, notifying my supervisor as soon as possible if delayed or unable to keep to my schedule. Call the Answer Center at * Abide by the Library s Standards of Acceptable Behavior and interact with library customers in a courteous manner. * Give full attention to my job, which means I will not bring friends or siblings with me to my job. * Be a cheerful and cooperative team player, asking staff for help when I have problems or questions, and providing them with suggestions. *Commit to a regular weekly two-hour shift from June 6 through July 29. (The Library will allow me to miss two shifts between June 13 and July 29.) * Share my love of books and reading with other young people in the Library. * Attend my training shift during the week of June 6-10 at the library where I will be volunteering. In return, Poudre River Public Library District agrees to: * Provide necessary training and orientation. * Review volunteer performance, maintain volunteer records, and provide a certificate attesting to volunteer s service at the end of the summer. * Welcome volunteer as a team member in the Children s Services areas of Poudre River Public Library District. Volunteer signature Date Parent/Guardian signature Date Pal Supervisor signature Date Parents: Photographs of Pals doing their volunteer work are often used in library publicity. If you do not want a photograph of your child used in this way, you must advise Library staff before your child begins the program. Thanks!
5 Applicant: Keep this sheet for yourself! Important Dates in the 2016 Library Pals Program April 1-May 15 Applications accepted. The sooner you get your application in, the better your chances of being offered a position as a Library Pal. May You will be notified by whether you ve been accepted and if so, when your shift is. Check your regularly! June 6-10 Training shifts, which absolutely positively may not be missed. June 13-July 29 Seven more weeks of shifts, of which two may be missed. July 29 The Pals Farewell Party! Come to Harmony Library s Community Room for food and games, 5:00 to 7:00. Pals Volunteer Code of Ethics and Work Agreement I understand that as a Library Pal volunteer of Poudre River Public Library District Old Town, Harmony, or Council Tree, I will be considered a valuable member of the library team and will be expected to assume the responsibilities in my job description. I understand and agree to: * Participate as a reader in the 2016 Poudre River Public Library District Summer Reading Program. * Maintain a neat and clean appearance and dress appropriately for the job I m doing, including wearing a nametag provided by the Library. * Be reliable and punctual, notifying my supervisor as soon as possible if delayed or unable to keep to my schedule. Call the Answer Center at * Abide by the Library s Standards of Acceptable Behavior and interact with library staff and customers in a courteous manner. * Give full attention to my job, which means I will not bring friends or siblings with me to my job. * Be a cheerful and cooperative team player, asking staff for help when I have problems or questions, and providing them with suggestions. * Commit to a regular weekly two-hour shift from June 6 through July 29. (The Library will allow me to miss two shifts between June 13 and July 29.) * Share my love of books and reading with other young people in the Library. * Attend my training shift during the week of June 6-10 at the library where I will be volunteering.
6 Note to myself: I put on my application that I d be able to work one of the weekly shifts marked below. OT Mon Tue Wed Thur Fri 9:30-11: :30-3:30 HARM Mon Thur CT Tue Thur pm
The Marion County Sheriff s Office
The Marion County Sheriff s Office Application Position: (Circle all that apply) Deputy Sheriff Dispatcher Auxiliary Deputy Other Part time Full Time MARION COUNTY SHERIFF S OFFICE EMPLOYMENT OR AUXILIARY
ICM Food & Clothing Bank Volunteer Application
Please print legibly. Date: / _/ ICM Food & Clothing Bank Volunteer Application Name: Email: Tel: ( ) Cell: ( ) Address: City: State: Zip: Emergency Contact Tel: 1. How did you hear about ICM? (i.e., school,
Thank you for your interest in Stamford Hospital s Junior Volunteer Program. To participate in this program, you must be at least 14 years old.
Dear Prospective Junior Volunteer, Thank you for your interest in Stamford Hospital s Junior Volunteer Program. To participate in this program, you must be at least 14 years old. Please read the directions
Coast Capital Savings Reading Buddy Program Volunteers WANTED!
Coast Capital Savings Reading Buddy Program Volunteers WANTED! As a Coast Capital Savings Reading Buddies Volunteer, you are a role model to a young reader, practicing reading with your buddy and engaging
Novant Health Auxiliary Prince William Medical Center Haymarket Medical Center
Novant Health Auxiliary Adult Volunteer Application Form (Application 18 Years of Age or Older and not currently enrolled in high school) Once you have completed this application please scan and email,
FOR STAFF USE ONLY. Age: School: Grade next fall: Parent s name: Parent s cell phone:
Page 1 of 7 Elmhurst Public Library Middle School Volunteer Application Summer 2017 Day: Time: Hand in this application IN PERSON to the Kids Library Help Desk by April 30, 2017. Volunteers will be chosen
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
SO YOU WOULD LIKE TO BECOME A VOLUNTEER?
Page 1 of 6 SO YOU WOULD LIKE TO BECOME A VOLUNTEER? Welcome to the Bunbury (DDC), and thank you for your interest in becoming a member of our Volunteer Program. The DDC relies on the assistance of volunteers
Roosevelt Care Center. Volunteer Service Application
Volunteer Service Application Name : : City, State, Zip Code: Home phone #: Cell phone# In Case of Emergency, please notify: Phone # Relationship: of last PPD (Tuberculosis skin test) Have you had: Mumps
Madera Community Hospital 1250 East Almond Avenue, Madera, CA 93637
MADERA COMMUNITY HOSPITAL LEAGUE OF VOLUNTEERS APPLICATION To Our Prospective Member: Madera Community Hospital 1250 East Almond Avenue, Madera, CA 93637 Attached is a new member application form. Please
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
Rome Memorial Hospital has openings for a limited number of student volunteers. If you are at least 15 years old and are interested, please:
1500 North James Street Rome, New York 13440 (315) 338-7000 Dear Student Volunteer Applicant: Rome Memorial Hospital has openings for a limited number of student volunteers. If you are at least 15 years
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
North Hawaii Community Hospital Volunteer Services Application
North Hawaii Community Hospital Volunteer Services Application Today s Date: Name: Address: City/State/Zip: Home Phone: Business Phone: Social Security #: Birth Date: Are you 18 years of age or older?
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
VOLUNTEER SERVICES APPLICATION (Must be 16 years of age or older.)
Please Indicate Volunteer Location: St. Charles Bend St. Charles Madras 2500 NE Neff Road 470 NE A Street Bend, OR 97701 Madras, OR 97741 St. Charles Redmond St. Charles Prineville 1253 NW Canal Blvd.
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
Volunteer Application and Release Form
Volunteer Application and Release Form Please complete the following form. Name Street Address Town, State, Zip Home Phone Cell Phone E-mail Address Age Animal Experience if any: Small Animal Care Large/Farm
Florissant Valley. Spring 2018 Final Exam Schedule. class start time between
Spring 2018 Final Exam Schedule Florissant Valley class start time between 7 7:50 a.m. MWF Monday, May 7 7 8:50 a.m. 7 7:50 a.m. TR Tuesday, May 8 7 8:50 a.m. 7 8:50 a.m. F Friday, May 11 7 8:50 a.m. 8
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
2016 Child Enrolment Form
Child Outside School Hours Care 2016 Child Enrolment Form Service St Rose Outside School Hours Care 8 Rose Avenue, Collaroy Plateau NSW 2097 Phone: 0407 316 875 Email: collaroy.oshc@dbb.org.au Website:
CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION CDF (Page 1)
CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION CDF 670 - (Page 1) VOLUNTEER IN PREVENTION APPLICATION AND SERVICE AGREEMENT CDF-670 NAME MALE HOME PHONE FEMALE WORK PHONE CITY/TOWN ZIP EMAIL SOCIAL
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,
U.S. Martial Arts Academy SUMMER CAMP 2015
U.S. Martial Arts Academy SUMMER CAMP 2015 3430 Oak Road Vineland, NJ 08361 Hours of operation 7:30am-5:30pm (Monday-Friday) Dates of Operation: Monday June 22nd thru Friday August 28th CLOSED WEEK OF
2014 BAY STATE GAMES MARATHON TEAM
2014 BAY STATE GAMES MARATHON TEAM The Massachusetts Amateur Sports Foundation / Bay State Games, is offering the opportunity to participate as an official entrant in the 2014 Boston Marathon to be held
If there is any home custody issues (i.e. divorce, restraining orders, etc.), it is imperative that we are made aware.
June 1, 2016 Dear Parents: Welcome to the New Lenox Community Park District ACES Program! We are very excited to be able to be the sole provider for District #122 with our quality before and after school
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
Redwood Musical Enrollment Packet MULAN DISNEY JR. TURN IN ENROLLMENT PAGES TO OFFICE By Friday, September, 1 st at 4:00 p.m.!
Redwood Musical Enrollment Packet MULAN DISNEY JR. TURN IN ENROLLMENT PAGES TO OFFICE By Friday, September, 1 st at 4:00 p.m.! Musical Director Mrs. Alejandro Choreographed by Shiyo Yamamoto Directed by
Child Waiver Timesheets & Documentation Requirements. Restoring Lives, Renewing Spirits
Child Waiver Timesheets & Documentation Requirements Agenda Where requirements come from Documentation needed Allowable Hours Turning in timesheets & documentation Deadlines How to fill out a timesheet
Syllabus. Name of Department: Instructor Name: Office Location Office Hours
Name of Department: Instructor Name: Office Location Office Hours E-mail Telephone Class Meeting Days/Times Location Title of Course: Course Description Credit Hours and Contact Hours Pre-requisites/ Nursing
We look forward to meeting and learning more about you! ~ St. Luke s Volunteer Leadership Team
DEPARTMENT OF VOLUNTEER SERVICES Dear Prospective Volunteer: Thank you for your interest in our volunteer program! We believe you will find volunteering for St. Luke's University Health Network to be a
Student Application
Student Application 2019-2020 Name: Date Received (official use only) Page 1 of 12 Application Purpose & Guidelines The purpose of this application is to enable the Selection Committee to assess each candidate
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
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
Volunteer Infant Caregiver Description
4579 Northgate Court Sarasota, FL 34234 941-552-2065 Fax: 941-953-4673 Volunteer Application Local Address: Zip: Telephone: E-mail address: Residency Information (Please circle) Are you in the area Year
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,
YOUNG WRITERS CAMP APPLICATION DUE MAY 30, 2017
1 YOUNG WRITERS CAMP APPLICATION DUE MAY 30, 2017 We are excited you want to join us for Young Writers Camp 2017! Writers of all skill levels are welcome. The only requirement is to attend camp each day,
Registered Business Name: Facility Address: City: Zip: County: Facility Phone:( ) Fax:( ) _ Contact Person: Phone:( ) Mailing/Billing Address:
OFF-INTERSTATE APPLICATION Please complete the following information as it applies to your business. Oregon Travel Information Council (dba, Oregon Travel Experience) rules stipulate that ONLY the REGISTERED
I. For Returning Volunteers
BLUE SOMBRERO ONLINE VOLUNTEER REGISTRATION INSTRUCTIONS This document has four sections. Please go to the appropriate section depending on your situation: I. For Returning Volunteers II. For Volunteers
THE HUMANITARIAN, INC. Creating Vision Through Mentoring
THE HUMANITARIAN, INC. Creating Vision Through Mentoring Mentor Interest Survey Name: Date: Please complete all the following. This survey will help The Humanitarian, Inc. Mentoring Program know more about
VOLUNTEER DEPARTMENT APPLICATION PACKET
VOLUNTEER DEPARTMENT APPLICATION PACKET OFFICE HOURS Tuesday Thursday 9:30am 3:00pm Tel: (718) 869-7870 St. John s Episcopal Hospital Pastoral Care, Volunteer & CPE Departments 327 Beach 19 th Street,
2017 Perry Hall High School Marching Band Camp Counselor Registration
2017 Perry Hall High School Marching Band Camp Counselor Registration If you are reading this packet then you have the opportunity to carry on your legacy by becoming a marching band counselor. Graduates
Cal-HOSA CHAPTER OFFICER APPLICATION PACKET
Cal-HOSA CHAPTER OFFICER APPLICATION PACKET INTRODUCTION Being a Cal-HOSA chapter officer takes hard work and dedication. You will gain experiences and relationships to last a lifetime. The skills gained
Soccer/Flag Football Baseball/Softball
Soccer/Flag Football Baseball/Softball Volleyball Week 1 Thur Mar. 1 5:15 A10-A11 B7-B8 A12 W5-W6 5:15 J5 G4 5:15 U5 6:15 X6-Y3 6:15 V4 Fri Mar. 2 5:15 B9-B10 W7-W8 5:15 J6 5:15 U6 6:15 Y5-Y6 6:15 K3 Sat
PRACTICE ASSESSMENT DOCUMENT FOR PRE-REGISTRATION NURSING STAGE THREE
PRACTICE ASSESSMENT DOCUMENT FOR PRE-REGISTRATION NURSING STAGE THREE Student Name... Student ID Number.. Cohort/Intake/Year... Name of Programme Identify University This University document forms part
North Carolina 4-H Application for State 4-H Office
North Carolina 4-H Application for State 4-H Office Name County Address City State Zip Home Telephone Age Date of Birth Cell Phone Number Year in School Date of Graduation Years of 4-H Completed Name of
Landstown High School Governors STEM Academy
Landstown High School Governors STEM Academy Step 1: Read and Sign Volunteer Guidelines and Ethics Agreement Sign this agreement once each year, at the beginning of the school year, or at the beginning
BAY STATE GAMES MARATHON FUNDRAISING TEAM APPLICATION
Bay State Games is proud to be a member of the John Hancock Non-Profit Marathon Program BAY STATE GAMES MARATHON FUNDRAISING TEAM APPLICATION The Massachusetts Amateur Sports Foundation / Bay State Games,
YMCA Before and After School Care School Year YMCA OF PIERCE AND KITSAP COUNTIES
PARENT INFORMATION PAGE YMCA Before and After School Care 2018-2019 School Year YMCA OF PIERCE AND KITSAP COUNTIES All fields must be completed for TACOMA registration PUBLIC packet to SCHOOLS be considered
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
Applications will be accepted until March 18, 2016
Dear Applicant, December 18, 2015 Thank you for your interest in the Houston Museum of Natural Science teaching assistant program. Successful applicants will work in the Museum s Xplorations summer camp
2018 East Texas Rural Electric Youth Seminar
2018 East Texas Rural Electric Youth Seminar June 25 June 29, 2018 on the East Texas Baptist University (ETBU) campus in Marshall, Texas Applications due Friday, April 20, 2018. To qualify please complete
PASADENA YMCA 2014 Winter Basketball Registration Form
PASADENA YMCA 2014 Winter Basketball Registration Form Child s Name: Date of Birth: Sex: M F Address City Zip School Height Age Grade Mother s Name Daytime Phone Father s Name Daytime Phone Signature:
WILSON HALL AFTER SCHOOL CARE PROGRAM
WILSON HALL AFTER SCHOOL CARE PROGRAM Welcome! Welcome to Wilson Hall After School Care Program! We are so excited to enjoy our new Randle Learning Center! It is a wonderful, comfortable place to relax
BAY STATE GAMES MARATHON FUNDRAISING TEAM APPLICATION
BAY STATE GAMES MARATHON FUNDRAISING TEAM APPLICATION The Massachusetts Amateur Sports Foundation / Bay State Games, is offering the opportunity to participate as an official entrant in the 2018 Boston
SUMMER INTENSIVE RESIDENT ASSISTANT APPLICATION PACKET
SUMMER INTENSIVE RESIDENT ASSISTANT APPLICATION PACKET Dear Applicant, Thank you for your interest in the Milwaukee Ballet Summer Intensive Resident Assistant Position. Resumes will be collected until
VOLUNTEER APPLICATION
VOLUNTEER APPLICATION Thank you for your interest in volunteering on the High Line! Volunteers have always played a critical role in FHL s public programs, horticulture, administrative tasks and helping
Student Ambassador Application
Student Ambassador Application GENERAL INFORMATION: Name: Address: City: State: Zip Code: County: JCC Student ID Number: Telephone Number: Cell Phone Number: Email Address: EDUCATIONAL INFORMATION: High
DEPARTMENT OF THE ARMY US ARMY JROTC BATTALION DELSEA REGIONAL HIGH SCHOOL 405 FRIES MILL ROAD FRANKLINVILLE, NJ
DEPARTMENT OF THE ARMY US ARMY JROTC BATTALION DELSEA REGIONAL HIGH SCHOOL 405 FRIES MILL ROAD FRANKLINVILLE, NJ 08322 856-694-4624 ATOA-DRHS-SAI 01 July 2016 MEMORANDUM FOR: JROTC CADETS AND THEIR PARENTS
From: AR Center (Arkansas Center for the Study of Integrative Medicine)! PLEASE READ FIRST!!
From: AR Center (Arkansas Center for the Study of Integrative Medicine) PLEASE READ FIRST Please be sure that you have a QUALIFYING MEDICAL CONDITION for Medical Marijuana in Arkansas. If you do not have
State 4-H Ambassador Application
OKLAHOMA 4-H State 4-H Ambassador Application The Ambassador Application Form should be completed by the use of a computer. Applications must be submitted both electronically and hardcopy through the mail.
Frozen Ropes Summer Program Information Packet
Frozen Ropes Summer Program Information Packet 14 Tech Circle Natick, MA 01760 508-653-7673 natick@frozenropes.com www.frozenropes.com v4 Table of Contents Outdoor Summer Program Frequently Asked Questions
The application forms must be submitted to the JCMH HR department by Friday, March :
Dear Nurse Intern Applicant, I am excited you are considering the summer Nurse Intern Program at Jackson County Memorial Hospital. This packet contains information regarding our program, the application
Application for Enhanced Funding Individual
Application for Enhanced Funding Individual How to Complete this Application Please carefully read the following information before completing your application. When completing your application: Print
CYO Emerald Knights Summer Marching Band and Guard 2018 Season Information
CYO Emerald Knights Summer Marching Band and Guard 2018 Season Information It s time to prepare for another summer of marching and fun with the CYO Emerald Knights Marching Band and Guard of Kenosha! Overview
Sussex YMCA Hardyston Before & After School Program Registration Form 2015-2016 School Year Please return this completed form to the Sussex YMCA to register for the School Age Child Care Program for the
Application for Volunteer Service
Application for Volunteer Service Date: Name: First Middle Last Address: City: Zip: Phone: Home Work Cell E-Mail: Date of Birth: Are volunteer hours required? If yes, for what program? Number of hours
2018 GRAND VALLEY POWER ELIGIBILITY REQUIREMENTS
2018 GRAND VALLEY POWER WESTERN COLORADO COMMUNITY COLLEGE SCHOLARSHIP Grand Valley Power s Western Colorado Community College Scholarship is created to promote the educational pursuits of students in
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
FEES. Entry Fees are. (No Entry Fee for Make A Child Smile or Route 66) A $25.00 penalty will be assessed for returned checks.
DIY DESIGN STUDIO DEADLINE Entry forms must be received by Tuesday, May 15, 2018 All entry forms are needed prior to dropping off your entry, no exceptions. DELIVERY Deliver your items to DIY Design Studio
E2 Workforce Development Scholarship Date Due: September 30 th
SCHOLARSHIPS Available for Hillyard Technical Center Students E2 Workforce Development Scholarship Date Due: September 30 th Criteria: Must be a high school graduate from St. Joseph School District Enrolled
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
Langston University Returning Athlete Screening Form
Langston University Returning Athlete Screening Form Name: Address: Social Security #: : Phone: Sport: DOB: M / D / Y 1. Have you had any injury since your last athletic screening here? Yes: No: If yes,
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
Family Support Team Packet. If you have questions about the enclosed packet, please contact: MHS Social Work Services
Family Support Packet If you have questions about the enclosed packet, please contact: MHS Social Work Services 253.403.1126 MultiCare Health System Family Support Packet 1 What is a Family Support? A
PRACTICE ASSESSMENT DOCUMENT
BSc (Hons) Nursing Studies / Registered Nurse All Fields PRACTICE ASSESSMENT DOCUMENT Student Name: Personal Tutor (PT): PT Tel No: PT Email: Submission Date: PT Group Number: Base Trust: Practice Placement
MATTAPONI VOLUNTEER RESCUE SQUAD 6089 CANTERBURRY ROAD, WALKERTON, VA PHONE
MATTAPONI VOLUNTEER RESCUE SQUAD 6089 CANTERBURRY ROAD, WALKERTON, VA 23177 PHONE 804-769-9455 E-MAIL MVRSINFO@GMAIL.COM MEMBER APPLICATION Dear Applicant: Mattaponi Volunteer Rescue Squad is an all-volunteer
STEAM COACHES PROGRAM Application Package
Application Package Dear STEAM coaches Applicant, Thank you for your interest in volunteering with the Vaughan Public Libraries STEAM Coaches Program. In this package you will find the documents necessary
Eagle Mountain-Saginaw ISD Student Scholarship Application. Boswell High School DEADLINE FOR COMPLETE APPLICATION: MARCH
Eagle Mountain-Saginaw ISD Student Scholarship Application Boswell High School DEADLINE FOR COMPLETE APPLICATION: MARCH 2 4 2017 EMS ISD Student Scholarship Application Instructions This scholarship application
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
GROUP VOLUNTEER APPLICATION
Contact Information: Please print clearly GROUP VOLUNTEER APPLICATION Organization Name: Primary Contact Name: Address: Phone: Email: Availability (Check and circle all that apply): Monday Tuesday Wednesday
Dear Prospective TeenAge Volunteer,
1900 Don Wickham Dr. Clermont, FL 34711 tel 352.394.4071 SouthLakeHospital.com Dear Prospective TeenAge Volunteer, Thank you for your interest in the Teenage Volunteer Program at South Lake Hospital. Teenage
Beauty and the Beast Audition Information Form
Beauty and the Beast Audition Information Form {PLEASE PRINT CLEARLY} Full Name: Name I Prefer: Gender: Grade: Date of Birth: / / Height: Hair Color: Shirt Size: Pant Size: Dress Size: Shoe Size: Street
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
Date: Name: (Last) (First) (Middle) Address: (Street) (City) (State) (Zip Code) Current Age: Date of Birth: Phone: cell:
Children s Hospital Junior Ambassador Program Application Packet for Summer 2018 Dates of Program June 11th through July 27th, 2018 Application Deadline March 5, 2018 Date: Name: (Last) (First) (Middle)
Application for Volunteer Work
Application for Volunteer Work Volunteer Services All new volunteers are required to complete an Application for Volunteer Work form. The information on this form will be treated in strict confidence under
2018 Recreation Grant Application
Peer Support Request Living Stronger! Living Longer! 2018 Recreation Grant Application CHECKLIST: Completed Application (All pages of the application must be completed and submitted together) Photo of
WELCOME TO VOLUNTEER SERVICE
WELCOME TO VOLUNTEER SERVICE Dear New Volunteer, It is a sincere pleasure to welcome you to the Volunteer Service of Memorial Hermann Prevention and Recovery Center (PaRC). The men and women who volunteer
Registration Form Parent/Guardian Information:
Registration Paid $ Entered by: Payment : Initial Visit: Registration Form How did you hear about us? Parent #1 Parent/Guardian Information: First & Last name: Drivers License# Family Password Address
HIGH-SCHOOL STUDENT VOLUNTEER PROGRAM
HIGH-SCHOOL STUDENT VOLUNTEER PROGRAM 2017-2018 School Year Volunteer Application Becoming part of the NUMC volunteer team is a process and has many steps. Please review all the information carefully with
1/6/18 Saturday CAC Prep (Douglasville) $130 Ongoing 1/8,9,10/18 Mon-Tues- Wed. Certified E-Counselor Certification Training (Atlanta) CAC Online
Date of Training High Impact Training Calendar for CAC High Impact/Anger Management Institute 44 Broad St. NW, Suite 707 Atlanta, GA 30303 Web Address: www.angermanagementofga.com All Class Times Are From
Servant Nurse Staffing, LLC Phone Personal Information
Servant Nurse Staffing, LLC Phone 806-687-1916 Email: info@servantnursesaffing.com Personal Information Full Name: Address: Last First M.I. Street Address Apartment/Unit # City State ZIP Code Home Phone:
Santa Margarita Catholic High School Girl s Soccer
Welcome Eagles! This booklet contains all of the information and approval forms that must be completed, signed, and returned by the parents of all players before the player will receive their uniform and
Welcome to The Brevard Health Alliance
Welcome to The Brevard Health Alliance The Brevard Health Alliance, Inc. (BHA) is a Community Health Center serving Brevard County residents providing comprehensive medical services to all residents. It
Fall Youth Soccer League
Saratoga Springs Recreation Department Fall Youth Soccer League Little Kickers: Pre-K Early Bird Registration: June 4-August 13 Plays Saturdays Times: 9am-10am Early Bird Fees: C $35 S $60 N $ 85 After
CARSON CITY VOLUNTEER/INTERN APPLICATION. Volunteer/Intern Name: City, State, Zip: Day Phone: Night Phone: Cell Phone:
CARSON CITY VOLUNTEER/INTERN APPLICATION Date: Volunteer/Intern Name: Home Address: City, State, Zip: Day Phone: Night Phone: Cell Phone: E-mail: Occupation: Business Name: Phone: Are you under the age
Pre-Requisite Form SSPC Protective Coatings Inspector (PCI) Program & Certification Level 3
SSPC Use Only Date Initial Application Verified Supervisor Approval Pre-Requisite Form SSPC Protective Coatings Inspector (PCI) Program & Certification Level 3 Document Checklist - Your completed packet
PROSPECT PARK ZOO Project TRUE Urban Ecology Program Application School Year (Please Print)
PROSPECT PARK ZOO Project TRUE Urban Ecology Program Application School Year 2014 2015 (Please Print) Name Date Address City/State/Zip Home phone: Cell phone: Work phone: Email: Date of Birth: EDUCATION:
SIR JOHN A. MACDONLAD HIGH SCHOOL
SIR JOHN A. MACDONLAD HIGH SCHOOL Entrepreneurship 12 Business for a Day Mini Venture Term Project Student Name: Sir John A. Macdonald High School 31 Scholar Road Upper Tantallon, NS Mini-Venture Booklet
Ocean Community YMCA YCares - Financial Assistance Program
Y scholarships are available to adults, children, and families who are unable to attend the Y or its programs due to inability to pay. A YMCA scholarship is a valuable thing to seek. Because scholarship