GLC Program Volunteer Application

Reference Evaluation
Two professional references are required to apply for this position. The third reference can be a personal reference.
Applicant Information
Applicant Name
Applicant Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant Email
example@example.com
Applicant Phone
Position Applying For
Name Position
Professional Reference #1
Name*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone*
Relation to Applicant*
Professional Reference #2
Name*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone*
Relation to Applicant*
Reference 3 (Optional)

This can be a personal reference
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone
Relation to Applicant
Electronic Signature Consent to Contact References*
Please type your full name to sign electronically.

Please Take Time to Read and Respond to These Questions.
1 Describe a few activities or adaptive sports you would be willing to lead for the campers*
2 Lets say you have one free hour with your campers before dinner What do you do to keep them active or engaged*
3 What if any experience do you have working with individuals living with visual impairments or special needs*
4 If hired what do you hope to take from this unique summer experience*
Electronic Signature*
Please type your full name to sign electronically.
Date

MonthDayYear
Date
Should be Empty:

Program Staff/Volunteer Application