Summer Site Volunteer Application 2019
Summer site is a great way to spend quality time with a smaller group of elementary and middle school students, and encourage physical and mental activity during the summer months!

We will be commuting from UCLA to Benny H. Potter Park in Arlington Heights every Wednesday from 11:15am to 3:30 PM during June 26 - July 24. To enhance the formation of relationships with the students, volunteers who can be consistently present at site will be given priority. So when marking your availability below, please check as many dates as possible.


Sincerely,
The Amigos de UCLA Directors

Name *
First and Last Name
Your answer
UID # *
Your answer
Cell Phone Number *
Your answer
Email Address *
Please provide an email you check regularly.
Your answer
Are you a new or returning volunteer? *
Please tell us why you would like to be involved/return in our summer program. *
Your answer
Do you speak Spanish? *
Your response will not influence your acceptance into the program.
Please mark all of the Wednesdays you can attend: *
Required
Any other questions, concerns, or information we should know?
Your answer
Emergency Contact *
In the event of an emergency at site, we would like a contact to inform as soon as possible. This can be a parent, family member, friend or roommate. Please include a NAME and PHONE NUMBER.
Your answer
Waiver of Liability *
In case of emergency, I authorize Amigos de UCLA staff to take me to the nearest emergency facility and for them to administer the treatment necessary for my safety and protection. I understand that Amigos de UCLA has no insurance covering such medical or hospital costs, and therefore, any cost incurred for such treatment shall be my sole responsibility. Amigos de UCLA nor the University of California will not compensate, insure or indemnify you for any incident, loss of property, illness or injury that may occur during the activity.
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