2012 Volunteer Application
Thank you for your interest in volunteering for Girls Rock Vermont!
Contact Information
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Home Phone *
Your answer
Cell Phone
Your answer
Work Phone
Your answer
Home Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Mailing Address
(if different from home address)
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Emergency Contact Person 1 Name *
Your answer
Emergency Contact Relationship *
Your answer
Phone *
Your answer
Phone 2
Your answer
Emergency Contact Person 2 Name
Your answer
Relationship
Your answer
Phone
Your answer
Phone 2
Your answer
Are you over 18 years old? *
If 18 or under, when is your birthday?
day/month/year
Your answer
Volunteer History
Have you volunteered at a Rock Camp before? *
If so, which one(s)?
Your answer
If yes, please list your job last time you volunteered at rock camp.
Your answer
Have you ever volunteered before? If so, where? *
Your answer
Previous Teaching Experience *
Have you ever taught before? If so, what, where, and whom (adult, children, what ages?)
Your answer
Preferences & Special Skills
Food Preference *
Medical Issues *
Do you have any medical conditions, allergies, or disabilities that we should know about? If so, please indicate here. All medical information will be kept confidential, and shared only with the camp nurse and, in the event of an emergency, with other staff only as necessary. If possible, please include any medications you’re taking.
Your answer
First Aid/CPR
Check here if you have current certification in:
Language Abilities
If you are comfortable speaking any languages other than English, and would be willing to provide translation help to campers, please indicate what language(s) you speak and your level
Your answer
Additional Skills
Please check the boxes below if you have skills in any of the following areas and would be willing to donate your time during the camp session and/or during the year
Volunteer Job Sign-Up
Please read the descriptions on the application page before filling out this section. Feel free to sign up for one job or several.
I am interested in volunteering for the following: *
Please choose one or more
Required
I am interested in the following position(s) *
Please choose one or more
Required
If you signed up to be a COUNSELOR or BAND COACH, please indicate what age group you prefer working with
Please choose one or more
If you signed up to be a BAND COACH or INSTRUMENT INSTRUCTOR, please indicate which instruments you play
If you signed up to be a WORKSHOP LEADER, please indicate what topic you'd like to address.
Your answer
If you signed up for ROADIE, RECEPTIONIST, FLOATER, KITCHEN TEAM, CAMP NURSE, CAMP SUPPORT or CONFLICT RESOLUTION please indicate your availability during the camp week
If you signed up for CONFLICT RESOLUTION, please indicate your qualifications, and list any experience you have working with young girls & women.
Your answer
If you signed up to be CAMP NURSE, please indicate your qualifications, and list any experience you have working with young girls & women.
Your answer
If you signed up for KITCHEN TEAM, please indicate your qualifications, and explain your kitchen experience below.
Your answer
If you signed up to be PHOTOGRAPHER/VIDEOGRAPHER, please indicate your experience shooting special events. If you've got a website, we'd love to see it!
Your answer
If you have any additional notes about your schedule, please put them here.
Your answer
Additional Information
How did you hear about Girls Rock Vermont? *
Your answer
Why do you want to volunteer at Girls Rock Vermont? *
Your answer
What experience, If any, have you had working with other people who have attention deficit disorder, learning disabilities, physical disabilities and/or other special needs? *
Your answer
Do you prefer to lead activities alone or with a partner? *
Your answer
Are there any technical or other special talents and skills you can bring to the camp? [Not just music-related! Anything!] Are there other subjects outside of those listed in the application and schedule that you would be interested in bringing to camp?
Your answer
Anything else you want to let us know?
Your answer
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