Personal Information

First Name:                Last Name:   

Home Phone:             Email:            

Summer Address:  

Age (if under 18)  * Please Note: minimum age is 15 and completion of grade 9.

1. Is this application in conjunction with the Secondary School Community Involvement Program
   

   If yes, School name:   Entering Grade: 

   
   
2. Previous Participation at Rainbow Day Camp
   

   Camper    Volunteer    Staff    None   

   
   
3. Why would you like to volunteer at Rainbow Day Camp?
   
   
4. Are you interested in volunteering with? (You may check more than one)
    Campers with Special Abilities  Swimming   Camp Setup  Lunch Supervision  general Camp
   
   
5. What are some of your interests or special abilities (include first aid and aquatic certificates)
   
   


6. What time commitment are you able to give?
    Mornings   Afternoons    Full Days    Casual  


7. Please list other volunteer or paid experiences relevant to this application.
   
   
   

   Availability

   		Monday	Tuesday	Wednesday	Thursday	Friday
   July 4th-8th	Morning (9-1)
   	Afternoon (12-4)
   July 11th-15th	Morning (9-1)
   	Afternoon (12-4)
   July 18th-22nd	Morning (9-1)
   	Afternoon (12-4)
   July 25th-29th	Morning (9-1)
   	Afternoon (12-4)
   Aug 2nd-5th	Morning (9-1)
   	Afternoon (12-4)
   Aug 8th-12th	Morning (9-1)
   	Afternoon (12-4)
   Aug 15th-19th	Morning (9-1)
   	Afternoon (12-4)
   Aug 22nd-26th	Morning (9-1)
   	Afternoon (12-4)

   
   Do you want to volunteer for more than 1 week?  Yes
                                                                                  No
   
   
8. Are you currently:                                                   Full-time
                                                                                  Part-time
                                                                                  Full-time student
   
   Employer:   Phone #  

References

Please list two adult references that we may contact regarding your application

1. Name:             Phone #: 
   
   Relationship: 


2. Name:             Phone #: 
   
   Relationship: 

I,   authorize Rainbow Day Camp for Children to contact any of the references listed above.

By checking this box you are signing this form.    Date: