2022 Junior Volunteer Application

2022 Junior Volunteer Program Guidelines

BRC is excited to have an in-person Junior Volunteer Program this summer! Below are a few requirements to participate in the program:

Making sure our volunteers are prepared through training is vital. A mandatory Junior Volunteer Orientation will take place on Tuesday, June 14th from 9:00am-4:00pm. All new volunteers will be required to attend.
All Junior Volunteer applicants must be 12 years of age or older to participate in the program.
Junior Volunteers must be willng to wear mask as required by BRC infection control guidelines, which may change from time to time.
Junior Volunteers must commit to working at least 30 volunteer hours during the program.

I have read and understand the above guidelines are a requirement of the 2022 Junior Volunteer Program.

yes no

Name

First Name Last Name

Email

example@example.com

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Home Phone

Please enter a valid phone number.

Cell Phone

Please enter a valid phone number.

Date of Birth

Date

Age:

Gender:

What Grade are you in?

6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11h Grade 12th Grade

What is your T-shirt size?

What School are you currently attending?

Which best describes your Covid-19 vaccination status?

I've received the 2 shot vaccine I've received the 2 shot vaccine and am boosted or plan to be boosted during the program dates I've not received any Covid-19 vaccinations for personal reasons I've not received any Covid-19 vaccinations for medical or religious reasons I'd like to discuss my vaccination status with you.

How did you hear about the BRC Junior Volunteer Program?

Why are you interested in being involved in the BRC Junior Volunteer Program?

How do you see yourself enhancing the quality of life for our residents at BRC?

How many days a week are you interested in volunteering?

1 2 3 4 5

Please select which days of the week you would prefer to volunteer:

Monday Tuesday Wednesday Thursday Friday Sunday ( Vespers Service Volunteer) No preference

The BRC Junior Volunteer Program will take place between Tuesday, June 14th and Friday, July 29th. Please share all dates you will be unable to volunteer due to other obligations.

Do you have any health conditions we should be aware of?

Please give the name, phone and e-mail address for 3 references. References can not be related to you.

Emergency contact Information:

First Name Last Name

Email

example@example.com

Phone Number

Please enter a valid phone number.

The Junior Volunteer Program offers the opportunity to volunteer Mornings (8:30am-11:30am), Afternoons (1:00pm-4:00pm) or Full Days (8:30pm-4:00pm). Please select all schedules you would be available to volunteer:

Mornings Afternoons Full Day

I understand and agree that submitting this application form does not automatically register me as a Bridgewater Retirement Community Junior Volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies, references and background check before I may begin volunteering.
By submitting this form, I attest that the information I have provided on the form is true and accurate.

Signature

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