PORT OF LOS ANGELES VOLUNTEEN PROGRAM

Similar documents
Student Application. Student Name Nick Name. Address. City State Zip Code. Address

APPLICATION PROCESS. Form D-1CL Rev. 10/22/14

Grand Lodge of Michigan Bikes for Books Program

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

Georgia District of Kiwanis 2018

OUR CHILDREN ARE OUR FUTURE!

VolunTEENs ~ Community Services Department

Rancho Cielo Culinary Academy ELIGIBILITY CHECKLIST

REGISTRATION FORM YOUNG ACTORS GUILD SUMMER 2014 FIVE WEEK CENTER STAGE PROGRAM :: JULY 7 AUGUST 8

COMMUNITY SERVICES DEPARTMENT 2018 VolunTEEN Program Information

2018 Faces of Transportation Photo/Video Contest Guidelines and Rules Deadline for Entries: FRIDAY, JUNE 15, 2018 PRIZES!

Scholarship Guidelines and Application

OU School of Dance Summer Intensive Audition Schedule

Community Life Center

Summer Engineering Academy

REGISTRATION DEADLINE: Feb. 9, 2018

Girl Scout Silver Award Project Intent Form Page 1 of 6

2007 SUMMER VOLUNTEEN PROGRAM APPLICATION PACKET

2018 Returning Volunteer Staff Application

University of North Texas UNTWISE Attention: Live and Learn Summer Program 1155 Union Circle # Denton, Texas

2018 Safety Coloring Page Contest

Recreational Boating Safety Guidelines for Multimedia and Print Media Grant Deliverables

CYO Registration Packet. To Sign Up: Return all 6 pages completed with payment

The Alaska Youth Academy Application

KILLEEN ALUMNAE CHAPTER of DELTA SIGMA THETA SORORITY, INC.

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

The Alaska Youth Academy Application

Partners In Ministry, Inc.

3rd Annual Mentoring Road Trip Contest Wednesday, February 1, 2017

Terms of Submission In order to participate, you must be at least eighteen (18) years old.

ADOPT-A-TRAIL APPLICATION

Blue Jeans Go Green UltraTouch Denim Insulation Grant Program OFFICIAL GRANT APPLICATION GUIDELINES

The Debutante Process

Kennedy King College-Minority Science and Engineering Improvement Program 2013

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

North Carolina Extension Master Gardener Volunteer Application Caldwell County

2017 VENTURA COUNTY JUNIOR LIFEGUARD PROGRAM HELD ON SILVER STRAND BEACH IN OXNARD

Invitation to Submit Abstracts for Presentation

SUMMER CAMP OCOEE RETREAT CENTER JULY 20-23, 2016

North Carolina Extension Master Gardener Volunteer Application Guilford County

JCC of Central New Jersey POLAND AND ISRAEL A Journey From Dark to Light April 22- May 2, 2017

CTS Application Guidelines

TOPS Piano and Creative Writing Camp Registration Form Summer 2018

LODZ PRE-TOUR REGISTRATION due November 16, 2017 MAIN MISSION REGISTRATION due November 30, 2017

STATE OFFICER CANDIDATE APPLICATION (Please Print)

Accenture Innovation Challenge: Rules of Participation ( Rules )

Child s Name Boy Girl Age Birth Date Entering Grade (Fall 2018) Child s T-shirt size: YS YM YL AS AM AL Father/Guardian Name Mother/Guardian Name

ALL HANDS ON EVEREST, ISLAND PEAK REGISTRATION

Building Relationships with God, Youth and our Neighbor

UNITED STATES MARINE CORPS RECRUITING STATION COLUMBIA 9600 TWO NOTCH RD, SUITE 17 COLUMBIA, SOUTH CAROLINA 29223

Application Deadline is Thursday April 13, Complete (include

Camp Hero Registration 2017

2017 Summer Camp Registration

2. Sponsor The Contest is sponsored by Just Play, located at 4850 T-Rex Avenue, Suite 100, Boca Raton, FL U.S.A

OFFICIAL WORLDWIDE NATIONAL GEOGRAPHIC INTERNATIONAL PHOTO CONTEST FOR KIDS RULES

RiSE Scholarship Foundation, Inc.

2018 GRAND VALLEY POWER ELIGIBILITY REQUIREMENTS

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

Design Tool Kit. Moving Day T-Shirt Contest Moving Day Contest Guidelines & Regulations

ELIGIBILITY Any artist from Alameda County is eligible. Preference will be given to those based in San Leandro.

Consent Form. AGE 5-6 AGE 7-8 AGE 9-10 AGE Parent or Legal Guardian Consent to Participate in the CITV Share a Story Competition

Release of Information, Medical and Liability Waiver. Packet

ST. CHARLES BORROMEO FOUNTAIN OF YOUTH YOUTH MINISTRY PROGRAM

3 rd Party Fundraising

COMPEER PROGRAM VOLUNTEER APPLICATION

Guidelines & Application

Keene Family YMCA CAMP REGISTRATION PACKET 2018

East Baton Rouge Parish Junior Deputy

All applications and transcripts must be postmarked no later than February 26, 2018.

Educator Awards. Nominator Information. Nominee Information. Questions? hmhco.com

Parent or Guardian Release and Indemnity Agreement

HONOR FLIGHT BLUEGRASS GUARDIAN APPLICATION ORIGINATING FROM LOUISVILLE, KY

2017 Summer Volunteen Program Application Checklist

2017 UNION BUILDING TRADES FEDERAL CREDIT UNION

AFRICAN AMERICAN COMMUNITY SERVICE AGENCY

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

2018 GRAND VALLEY POWER. Jack Broughton-Colorado Mesa University Scholarship ELIGIBILITY REQUIREMENTS

BRIDGES 21 st Century Community Learning Center

THE PAYCHEX SEARCH FOR AMERICA S MOST UNIQUE SMALL BUSINESS OFFICIAL RULES

NATIONAL LEADERSHIP CONFERENCE RUN4RED 5K WALK/RUN WAIVER

MY.BAKUGAN.COM BAKUGAN S MECHTANIUM SURGE DREAM TEAM CONTEST RULES

Project C.O.P.E. at Camp Birch for Scouting and non-scouting, Non-Profit Organizations

Pentel of America, Ltd. is delighted to announce the 46th International Children s Art Exhibition (ICAE).

VOLUNTEER APPLICATION

Ardent Credit Union Scholarship Program

LATE AND INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.

International Compost Awareness Week 2018 Poster Contest

Employ Florida Marketplace Terms and Conditions Governing your access and use of the Employ Florida Marketplace (EFM)

2017 AIR FORCE (AF) ART CONTEST OFFICIAL RULES

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

1) INFORMATION ABOUT THE PARTICIPANT AND ACTIVITY

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

Project Aerospace ACE Academy Application

Student Awards OFFICIAL RULES: HOUGHTON MIFFLIN HARCOURT 180 STUDENT AWARDS CONTEST; NO PURCHASE NECESSARY. hmhco.com

CAMP KEOLA 4-H CAMP June 19-23, 2018 CAMPER REGISTRATION NAME AGE GENDER GRADE MAILING ADDRESS CITY ZIP

POSTER THEME: Compost: Nature s Way to Grow!

2018 MARSHALL COUNTY LAW ENFORCEMENT YOUTH CAMP APPLICATION

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

University Health Services and Safety. Occupational Health & Safety Guideline

May, June, and July August, September, and October November, December, and January

Transcription:

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! The Port of Los Angeles occasionally needs volunteer assistance at community events. We are looking for high school students interested in assisting at these events as VolunTEENS. VolunTEEN duties may include, but are not limited to the following: Working in a Port information booth distributing brochures or promotional items Children s activities, such as, games, face painting, craft activities, etc. Assisting with the TransPORTer, the Port s mobile exhibit Line monitoring and crowd control assistance On occasion, may include lifting and moving of event equipment and materials Other duties as asked by a Port representative The Port of Los Angeles invites interested and qualified high school students to submit a Port of Los Angeles VolunTEEN application. Applications will be kept on file and students will be selected and contacted as-needed to assist. In order to be considered for a VolunTEEN opportunity, you must: Be a high school student currently enrolled in grades 9-12 Complete the Port of Los Angeles VolunTEEN application Read, sign and date and obtain your parent or guardian s signature on the Rules & Responsibilities form Include 2 references on your VolunTEEN application. One reference must be provided by a teacher or faculty at your school. Complete, sign and date and obtain your parent or guardian s signature on the Photography Release Form Submit your application by email to edtours@portla.org, fax to 310-547-4611 or mail to Port of Los Angeles, Public Relations Division, Educational Coordinator, 425 S. Palos Verdes Street, San Pedro, CA 90731 PLEASE NOTE: Students who submit applications are not guaranteed service hours. Students will be selected and contacted as-needed to be offered VolunTEEN service opportunities.

APPLICATION Name: Grade: Age: School: Email: Phone: Volunteer availability (check those that apply): Week night evening shifts Weekend daytime shifts Weekend evening shifts Why are you interested in being a Port of Los Angeles VolunTEEN? Why do you believe you should be chosen to represent the Port of Los Angeles as a VolunTEEN? Do you have any special skills or experience that would be helpful (such as leading groups, working with the public or children, drawing skills, etc.)?

RULES AND RESPONSIBILITIES To be considered as a VolunTEEN, you must agree to represent the Port of Los Angeles in a professional manner including the following: Follow the attire restrictions provided to you by a Port of Los Angeles representative It is NOT appropriate to wear short shorts, flip flops, or other beach attire While wearing a Port-issued shirt (if applicable) remember that you are representing the Port of Los Angeles and must maintain professional at all times even if it is before and after your shift Port-issued attire should not be altered in any way Arrive and report to a Port representative at your scheduled shift on time, in appropriate attire and ready to work Do assigned work to assist the community or staff it s not the time to just hang out Do not talk on cellular phones or text message during your shift Speak with Port staff and community members respectfully. No profanity or other inappropriate language. Friends or family members are not allowed to remain with you during your shift If you receive a question from a community member that you are unable to answer, advise them that you are a student volunteer and that you will locate a Port representative to assist them If rules or responsibilities are broken or a Port representative ends your shift for any reason you must exit in a professional manner Please sign below to indicate that you understand and agree to follow the above rules and responsibilities. Student signature: Date: PARENT OR GUARDIAN: I, (print parent/guardian name), am the parent or legal guardian of (print student name). I have read the Port of Los Angeles VolunTEEN Program materials. I acknowledge the Rules and Responsibilities of a Port of Los Angeles VolunTEEN and authorize my child to participate in the Port of Los Angeles VolunTEEN program. Parent/Guardian signature: Date:

REFERENCES Two references are required. At least one reference must be provided by a teacher or faculty member at your school. Reference 1 Name: Affiliation with the student: Title/School Name (if applicable): Why do you recommend this student? Signature: Date: Reference 2 Name: Affiliation with the student: Title/School Name (if applicable): Why do you recommend this student? Signature: Date:

PORT OF LOS ANGELES SPECIAL EVENT STANDARD PHOTOGRAPHY RELEASE FORM MINOR RELEASE In consideration of the engagement as a model of the minor named below, and for other good and valuable consideration herein acknowledged as received, upon the terms hereinafter stated, I hereby grant ("Photographer"), his/her legal representatives and assigns, those for whom Photographer is acting, and those acting with his/her authority and permission, the absolute right and permission to take, copyright and use, reuse, publish, and republish photographic portraits or pictures of the minor or in which the minor may be included, in whole or in part, or composite or distorted in character or form, without restriction as to changes or alterations from time to time, in conjunction with the minor's own or a fictitious name, or reproductions thereof in color or otherwise, made through any medium at his/her studios or elsewhere, and in any and all media now or hereafter known for illustration, promotion, art, editorial, advertising, trade, or any other purpose whatsoever. I also consent to the use of any published matter in conjunction therewith. I hereby waive any right that I or the minor may have to inspect or approve the finished product or products or the advertising copy or printed matter that may be used in connection therewith or the use to which it may be applied. I hereby release, discharge, and agree to save harmless and defend Photographer, his/her legal representatives or assigns, and all persons acting under his/her permission or authority or those for whom he/she is acting, from any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form, whether intentional or otherwise, that may occur or be produced in the taking of said picture or in any subsequent processing thereof, as well as any publication thereof, including without limitation any claims for libel or invasion of privacy. I hereby warrant that I am of full age and have every right to contract for the minor in the above regard. I state further that I have read the above authorization, release, and agreement, prior to its execution, and that I am fully familiar with the contents thereof. This release shall be binding upon the minor and me, and our respective heirs, legal representatives, and assigns. Print Name: Date: Sign Name: Date: Address: Parent or Guardian: Date: