2012 TYM Returning Volunteer Application

Thank you for your interest in Today’s Youth Matter and your desire to volunteer for the 2012 summer camp season. Welcome back for another GREAT summer with TYM. Please fill out the repeat volunteer application below including the camp(s) you are available for.

The following application is for returning volunteers only.

Note for New Volunteers! If you have NOT volunteered as a Team Leader or Support Staff in past summers, please return to www.tymkids.org and look for the application link for New Volunteers. Thank you.

Age Requirement: We require volunteers to be 16 years of age prior to June 1, 2012. If you will be under the age of 16 on June 1st, please call our office before applying. 408-719-9125

I. Volunteer Contact Information

* First Name

* Last Name

* Gender

Male

Female

* Date of Birth (MM/DD/YYYY)

* Have you moved in the past year?

Yes

No

* Home Phone

* Email Address

Cell Phone ex 4159632727 no dashes or ( )

Please select your mobile phone carrier. We have found it very helpful to send occasional short messages via text. By selecting your carrier you are giving TYM permission to send text messages to your mobile phone.

* Address

* City

* State

* Postal Code

* Have you ever been

convicted of a crime?

Yes

No

If yes, please explain nature of and age at conviction.

* Please check the year(s) you have worked at TYM camp.

Parent/Guardian Information

* Parent 1 : First Name

* Parent 1 : Last Name

* Email

* Primary Phone

Parent 2: First Name

Parent 2: Last Name

Email

Primary Phone

Certifications -Please submit copies of all certification cards to our office.

* CPR Cerified

yes

no

* Lifeguard Certified (current)

yes

no

Upload copies of certification cards here or send them to our office.

Camp Dates

Boys Camps: Place a check next to all of the dates you are available.

Please choose at least one date. For dates you are NOT available please leave blank.

Boys I - June 10 - 15

Boys II - July 8 - 13

Boys III - July 22 - 27

For the dates you are available, feel free to indicate your order of preference.

Girls Camps: Place a check next to all of the dates you are available.

Please choose at least one date. For dates you are NOT available please leave blank.

Girls I - FULL (please call our office)

Girls II - FULL (please call our office)

Girls III - July 15 - 20

For the dates you are available, feel free to indicate your order of preference.

Volunteers 18 years of age and older are eligible to volunteer on a backpacking trip.

Teen Boys Backpacking - Aug 3-7

Volunteers 18 years of age and older are eligible to volunteer on a backpacking trip.

Teen Girls Backpacking - June 18 - 22

Comments & Agreements

Please add any comments here:

* The information submitted in the above application is true. In submitting this application for volunteer placement, I understand that receipt of this application by Today's Youth Matter does not imply selection or employment.

Yes

* Indicates Response Required


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