2023 Junior Volunteer Application

2023 Junior Volunteer Application
2023 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:
1. Making sure our volunteers are prepared through training is vital. A mandatory in person Junior Volunteer Orientation will take place on Tuesday, June 13th from 9:00am-4:00pm. All volunteers will be required to attend. There are no make-up sessions.
2. All Junior Volunteer applicants must be 12 years of age or older to participate in the program by Tuesday, June 13th, 2023.
3. Junior Volunteers must be willing to wear a mask as required by BRC infection control guidelines, which may change from time to time.
4. 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 2023 Junior Volunteer Program.

yesno
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
Date of Birth

MonthDayYear
Date
Age:
Gender:
What Grade are you in?

6th Grade7th Grade8th Grade9th Grade10th Grade11h Grade12th 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 vaccineI've received the 2 shot vaccine and am boosted or plan to be boosted during the program datesI've not received any Covid-19 vaccinations for personal reasonsI've not received any Covid-19 vaccinations for medical or religious reasonsI'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?

12345
Please select which days of the week you would prefer to volunteer:

MondayTuesdayWednesdayThursdayFridaySunday (Vespers Service Volunteer)No preference
The BRC Junior Volunteer Program will occur between Tuesday, June 13th, and Friday, July 28th. Please share all dates you cannot 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 of three references. References cannot be related to you.
Emergency contact Information:

First NameLast 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:

MorningsAfternoonsFull 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.
Applicant's Signature

Clear
Parent/ Guardian Signature By signing below, I confirm I have reviewed the above applicant's application and the BRC Junior Volunteer Program guidelines at the top of the application.

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