2023 Parent Volunteer Application
Thank you for your interest in volunteering in the Wildlife Camp Program. Once you have submitted your application, you may be contacted for an interview as part of the selection process. Please note that applicants are subject to criminal background checks and must abide by the Center’s Drug-Free Workplace Policy. If you are selected, then you will receive one student scholarship.
Name:
*
First Name
Last Name
Preferred Name:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
January
February
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Month
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Day
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Year
Gender
*
Male
Female
Email Address
*
example@example.com
Home Phone Number
*
-
Area Code
Phone Number
Other Phone Number
*
-
Area Code
Phone Number
T-Shirt Size:
*
Small
Medium
Large
XL
2XL
3XL
4XL
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Next
Which week of Wildlife Camp will you be able to serve as a Parent Volunteer?
*
Basic Camp: July 9-13
Advanced Camp: July 16-20
Are you able to stay on site during the entire week?
*
Yes
No
If you are not able top stay on site all week, what time frame are you available?
Will you be bringing a child to camp?
*
Yes
No
Child's Name:
First Name
Last Name
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Employment
If not currently employed list most recent employer.
Are you Currently Employed?
*
Yes
No
Employer:
*
Job Title:
*
Job Description:
*
Please list any skills and qualifications you have that relate to the Wildlife Camp Program
*
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Additional Questions
Please answer the following questions.
Briefly describe yourself.
*
Briefly describe your interests or hobbies.
*
Why do you want to serve as a Parent Volunteer?
*
Have you ever been convicted of a crime other than traffic violations?
*
Yes
No
If Yes, Please Explain
Signature
I hereby certify that the above information is correct. I also authorize the Georgia FFA-FCCLA Center to perform a criminal history check on me for the purpose of certifying that I have not been convicted of a crime.
*
Clear
Date of Application Submission:
*
MM/DD/YYYY
Submit
Should be Empty: