2019 Volunteer Application Form - QCESC Engineering Kids Camp
The non-profit Quad City Engineering and Science Council (QCESC) is seeking volunteers to support the 11th annual Engineering Kids Camp. Your chances of being selected are best if you register early to be a volunteer. We will continue to accept volunteers until we have filled up all of the portions for the seven camps.

The event is being held on July 22 - July 26, 2019 with 7 individual camps at the Putnam Museum and Science Center in Davenport with capacity for 370 kids in grades K-8 total.

The camp schedule is:
* Mon, July 22 for students grades 3-5th
* Tue, July 23 for students grades 6-8th
* Wed, July 24 for students K-2 with 1/2 day from 9:00 AM - Noon
* Wed, July 24 for students K-2 with 1/2 day from 1:00 - 4:00 PM
* Thu, July 25 for students K-2 with 1/2 day from 9:00 AM - Noon
* Thu, July 25 for students K-2 with 1/2 day from 1:00 - 4:00 PM
* Fri, July 26 for girls 3-8th

No previous experience is required – just a desire to have fun and engage with and inspire children.

Further information the various volunteer roles is available at:

Everyone that registers to be a volunteer will be notified by July 15 or sooner providing them details on their assignment. Depending on the number of people that register to be volunteers, not all people that register may be able to be utilized.

When you have successfully completed the form, you should see "Your response has been recorded".

Email address *
Contact Information
First Name *
Your answer
Last Name *
Your answer
Gender *
Age *
E-mail Address 2 (optional)
Your answer
Cell Phone/Emergency Phone Number *
(example xxx-xxx-xxxx) - Only use for emergency or if can't get a hold of via e-mail
Your answer
Employeer Name or School Name with grade if Full Time Student *
(example - John Deere or if student Davenport North High School 11th Grade)
Your answer
Position / Job Function at Work or Student *
Your answer
Volunteer Positions Available
Indicate which days you could be available to volunteer (check all that apply) *
You will only be ask to volunteer for one day or less unless you indicate in your comment you would like to volunteer for more than one camp.
Please indicate your level of interest, if any, in supporting the following volunteer positions. *
High Interest
Medium Interest
Low Interest
No Interest
Activity Assistant working with ISU/Putnam with pre-work
Group Coordinator with No Pre-Work
Photographer/Video 1 people per Camp
Helper - FIRST LEGO League Junior - No Prework
Additional Comments or Notes or Questions, If Any
Your answer
A copy of your responses will be emailed to the address you provided.
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