Teen Volunteer Application - Morehead Planetarium and Science ...

Applicant's name: _____________________________________________ Email: _____________________________________________If you have had previous job or volunteer experiences that involved working with children, taking a leadership role orsharing responsibilities with team members, please describe those experiences in the space below:Please provide contact information for three references who know you well. These may be adults who know you fromschool, church, jobs, sports or community activities. If possible, list people who have seen you interact with children. Donot list any family members as references:Name of first reference: __________________________________________________________________________________How does this person know you? __________________________________________________________________________Email: ________________________________________________ Phone: _______________________________________Name of second reference: ________________________________________________________________________________How does this person know you? __________________________________________________________________________Email: ________________________________________________ Phone: _______________________________________Name of third reference: _________________________________________________________________________________How does this person know you? __________________________________________________________________________Email: ________________________________________________ Phone: ________________________________________Please sign the following statement to confirm your agreement with it:The information I have provided in this application and in any interview with Morehead personnel is true and correct to the bestof my knowledge. I authorize Morehead Planetarium and Science Center to investigate the information I have provided.I acknowledge that any discrepancy may be grounds for nonadmittance to the Teen Volunteer program or for dismissal.Applicant signature:____________________________________ Date: _________________________________________BE SURE TO COMPLETE THE AVAILABILITY SHEET ON THE FOLLOWING PAGE.Page 2 of 3

Applicant's name: _____________________________________________ Email: _____________________________________________Morehead Summer Science Camps 2013Teen Volunteer Availability SheetEach day, Morehead offers morning camps and afternoon camps. Each camp session lasts one week, Monday–Friday. Inaddition, Morehead offers extended care for children whose parents need early drop-off or late pick-up times, as well as lunchcare for children who are attending both a morning camp and an afternoon camp. Volunteers are needed for each assignment.Please consider carefully what weeks and what times of day that you will be available to volunteer this summer. Talk with yourparent/guardian about your availability and be sure that you will have transportation for the weeks you want to volunteer.Morehead asks that all volunteers serve a minimum of two weeks during the summer. Assignments for extra weeks may beavailable. Please use the chart below to mark each week you would be available AND the times you would be available for thatweek:WHEN ARE YOU AVAILABLE TO VOLUNTEER?Morehead adjust the number of volunteers in eachweek to the number of camps offered. You may notbe scheduled for some of the weeks that you areavailable.June 10–14June 17–21June 24–28July 1–5July 8–12July 15–19July 22–26July 29–Aug. 2Aug. 5–9Aug. 12–16Morning Extended Care, 7-9 a.m.Morning Camps, 8 a.m.-12:30 p.m.Lunch Care, 11:45 a.m.-1:15 p.m.Afternoon Camps, 12 noon-4:30 p.m.Afternoon Extended Care, 3:45-6 p.m.How many hours per week do you want to volunteer at Morehead this summer? __________________________________One camp session — EITHER a morning camp OR an afternoon camp for one week — equals 20–25 volunteer hours.Are there any special concerns about your availability to volunteer? Please list those concerns here:_______________________________________________________________________________________________________All Morehead Summer Science Camp volunteers are expected to participate in a special orientation and training programon Saturday, June 1, 10 a.m.–12 noon, in Chapel Hill. Morehead will provide lunch. If you would be unable to attend thisprogram, please list the reason here:________________________________________________________________________________________________________Please check your correct t-shirt size here:Child size: ❑ S (6–8) ❑ M (10–12) ❑ L (14–16)Adult size: ❑ S (32–34) ❑ M (36–38) ❑ L (40–42) ❑ XL (44–46)You may hand-deliver your completed application and availability sheet to Morehead's camp officeat 250 East Franklin Street in Chapel Hill, fax it to 919-962-1238 or mail it to this address:Morehead Planetarium and Science CenterTeen Volunteer Program — Summer Science CampsCB #3480, UNCChapel Hill, NC 27599-3480A Morehead Summer Science Camps staff member will call or email you to schedule an interview.To learn more about Morehead Summer Science Camps, visit .If you have questions, please call 919-843-7334 or email .Page 3 of 3