Zimmer Children's Museum CIT (Counselor in Training) Program Application
This volunteer experience is for middle and high school students (ages 11-15) interested in gaining hands-on experience working with young children in an informal educational arts-integrated setting. CIT participants will work directly with campers (ages 3-8), and under the supervision of Zimmer Staff and Camp Educators will develop curriculum, facilitate activities, and learn more about arts and early childhood education.

CIT participants are expected to be available Monday – Friday, from 8:30am-3:30pm so they must bring a lunch. The CIT participants are required to be available for a minimum of 2 days during Spring or Winter camp. During the summer (June – August), a minimum of 2 weeks is required. Specific availabilities of the CIT can be discussed in the interview with the Volunteer Coordinator.

Name (Last, First)
Your answer
Date of Birth
mm/dd/yyyy (please note you must be at least 11 years old by 6/1/2017 to participate)
Your answer
Address
Your answer
Phone #
(Please note if your preferred phone number is home or cell)
Your answer
Email Address
Your answer
What school do you attend?
Your answer
Are you receiving course credit/ community service hours for a school program?
How many hours do you need to complete?
Your answer
Which seasonal camps are you planning to volunteer at?
Required
Emergency Contact
Please indicate name, relationship, and phone number
Your answer
Are you First Aid or CPR certified?
What language(s) do you speak?
Your answer
What language(s) do you read?
Your answer
What language(s) do you write?
Your answer
What are some of your special skills or previous experiences?
Required
Why do you want to be a part of the CIT program?
Your answer
How will this experience benefit your future personal or academic goals?
Your answer
1 Teacher Reference
please include full name and phone number/email.
Your answer
How did you hear about the Zimmer CIT Program?
Required
Is there anything else you would like us to know about you?
Your answer
T-Shirt Size
I understand that I cannot volunteer at the Zimmer Children's Museum to satisfy any court-mandated service requirements.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms