2018 Summer Peer Mentor Application
2018 Summer Peer Mentor Application
Thank you for your interest in being a Peer Mentor at Girls Rock! Rochester's Summer Camp! For questions, email kaci@girlsrockrochester.org

As a Peer Mentor, you will gain leadership experience while continuing to build on your musical skills, making new friends, and helping us further the GR!R mission. Peer Mentors must be 17-18 years old at the start of camp, and must have attended two or more programs at GR!R. As a Peer Mentor, you will be expected to demonstrate responsibility, reliability, and a dedication to the mission of Girls Rock! Rochester. You will be required to attend a Peer Mentor training session before camp begins, and you will also be expected to help with a moving day and showcase.

All Peer Mentors will receive a $200 stipend for their work. Please let us know if you would like your hours to be logged so they can go toward school community service requirements.

Peer Mentor training session:
Friday, July 13th

Move in:
Saturday, July 28th

Sunday, July 29th - Mandatory Volunteer Training
Monday, July 30th - Friday, August1 3rd - Summer Camp
Saturday, August 4th - Showcase

PLEASE NOTE: If you are under 18, a legal guardian must complete the waiver portion of this application with you.

Email address *
First Name: *
Your answer
Last Name: *
Your answer
Gender Pronouns: *
Your answer
Date of Birth (MM/DD/YY) *
Your answer
Which of the following racial groups comes closest to identifying you? Check all that apply, and use the "other" box to share any additional information. *
We dislike checkboxes, too! They are helpful for reporting, though, so please bear with us.
Street Address *
Your answer
City, State, Zip *
Your answer
Best phone number to reach you at: *
Your answer
Emergency Contact Name and Relation to You *
Your answer
Emergency Contact Phone Number *
Your answer
Never submit passwords through Google Forms.
This form was created inside of Girls Rock! Rochester. Report Abuse - Terms of Service