Girls Rock Math Counselor Interest Form

Application Process:

If you are a returning counselor, please fill out the application (you do not need to provide references), then I will be in touch to get you on the summer schedule. If you are a new counselor, I will be in contact to schedule an interview with you after I receive forms from your references. Please email leadership@girlsrockmath.org with any questions.
Name:*

First NameLast Name
Preferred Name
Pronouns*
Teen Volunteer's Email:*
example@example.com
Teen Volunteer's Phone Number*
Parent/Guardian Name:*
Parent/Guardian Email:*
Parent/Guardian Phone Number:*
Fall 2025 Grade Level*
If you are a current 6th or 7th grader please see the Middle School page on the website and apply there.
Birthday*

MonthDayYear
Date
School:*
Did you attend Girls Rock Math as a camper?*
Have you been a CIT at Girls Rock Math before?*
Have you been a Counselor at Girls Rock Math before?*
If yes, how many summers have you volunteered with us? blank
Home Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
References

Please provide the name and email address of 2 non-family/non-friend references. This could include teachers, coaches, parents of children you've babysat or tutored, etc. You don't need to fill out this portion if you have been a counselor with Girls Rock Math before.
Reference 1

First NameLast Name
Email
example@example.com
Reference 2

First NameLast Name
Email
example@example.com

Summer Availability

Please answer these questions to give an idea of when and where you will be able to volunteer this summer. I will be in contact via email to schedule specific weeks and camp locations with you. Use the locations page on our website for reference https://www.girlsrockmath.org/locations.php
1st choice
2nd choice
3rd choice
If more than 3 locations would work for you, please list the other options here
Which weeks are you available to volunteer this summer as of now? Please email leadership@girlsrockmath.org as your summer availability changes.

July 7-11July 14-18July 21-25July 28-August 1August 4-8 (no California, Maple Leaf or Rainier)August 11-15 (no California, Maple Leaf or Rainier)
How many weeks would you like to volunteer for this summer?*
T shirt size*
Should be Empty:

Application Process: