SunKids Volunteer Application 2018
Summer is fast approaching with many opportunities to volunteer at Center for Developing Kids. SunKids is a three week summer program designed to provide a fun and safe summer camp experience for children 3-10 years of age and we rely on the help of our volunteers to make the program a success. Thank you for your interest in joining us. Please fill out the form below with your information and availability by Friday, June 1st. Volunteers are accepted based on availability, past program experience, and promptness in completing this form. You will be notified of your acceptance as a volunteer and given your schedule by Friday, June 22nd.
Last Name *
Your answer
First Name *
Your answer
Age *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Email Address *
Your answer
Cell Phone Number *
Your answer
Home Address *
Your answer
Have you previously volunteered at Center for Developing Kids? *
Please indicate whether you volunteered for SunKids, Write-On, in the clinic, etc.
Your answer
What experience do you have working with children? *
Your answer
Week 1: Which sessions are you available to volunteer? *
Please note that priority will be given to volunteers who can commit to full weeks of camp.
Available 12-4pm
Not Available
Monday, July 9
Tuesday, July 10
Wednesday, July 11
Thursday, July 12
Week 2: Which sessions are you available to volunteer? *
Please note that priority will be given to volunteers who can commit to full weeks of camp.
Available 12-4pm
Not Available
Monday, July 16
Tuesday, July 17
Wednesday, July 18
Thursday, July 19
Week 3: Which sessions are you available to volunteer? *
Please note that priority will be given to volunteers who can commit to full weeks of camp.
Available 12-4pm
Not Available
Monday, July 23
Tuesday, July 24
Wednesday, July 25
Thursday, July 26
Emergency Contact Information
If you are under 18, please have a parent or guardian complete this portion
Persons authorized to be contacted in an emergency *
Please indicate 2 contacts, including: name, relationship to you, and phone number.
Your answer
Physician to be called in an emergency *
Please include name and phone number
Your answer
If physician cannot be reached, what action should be taken? *
Your answer
Medical Insurance Company and Policy Number *
Your answer
Please list all allergies and medications *
Your answer
In case of emergency, I understand Center for Developing Kids staff will secure treatment by calling for an ambulance or paramedic to treat my child and/or transport my child to the emergency hospital. Center for Developing Kids is released of any financial obligation for treatment/transport in this event. *
Please type your name as confirmation of your signature *
Your answer
If under 18, please include parent name as confirmation of your signature *
Your answer
Thank you very much. We look forward to working together!
Tammy Mitchell and Mark Kim
SunKids Program Organizers
sunkids@centerfordevelopingkids.com
Submit
Never submit passwords through Google Forms.
This form was created inside of California State University, Northridge. Report Abuse - Terms of Service - Additional Terms