Phone: 904-637-4720

Volunteer Application

VOLUNTEER APPLICATION

Thank you for your interest in volunteering at Bright Minds Youth Development summer camp. Some of the summer camp locations are 8 weeks long, others are 7 weeks. Our volunteers are required to work a minimum of 6 hours per day. We like for our volunteers to commit to a minimum of 4 consecutive weeks.
IF YOU'RE A PAST VOLUNTEER/INSTRUCTOR FOR BRIGHT MINDS CLICK HERE

Please fill out the application as completely as you can, then hit the “SUBMIT” button at the bottom.

Date:

Name:

Address:

City: State: Zip:

Home Phone: Cell Phone:

Email:

Drivers License Number: Date of Birth:

Employer/School: Occupation:

City: State: Zip:

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EDUCATION

High School: Date Entered: Current Grade: Date Graduated:

College/University: Date Entered: Date Graduated:

Major/Minor:

Are you a licensed teacher? YesNo

Degree earned and effective date:

Fluency: Spanish YesNo Other, please indicate:

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CAMP/TEACHING/COMMUNITY CENTER EXPERIENCE

1. Years: Agency Name:

Address: Phone:

Your Position: Supervisor:

2. Years: Agency Name:

Address: Phone:

Your Position: Supervisor:



(Disclaimer: It is recommended that you select multiple locations. All staff will be assigned to a location based on the needs of BMYD. To select multiple locations press CONTROL then left-click.)

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CERTIFICATIONS (Email copies of certification cards to volunteer@brightmindsyouth.org)

CPRFirst AidLifeguardEMTTeachingTutoringOther

If Other, please list:

Please answer the following questions to the best of your ability:

1. Do you have childcare experience? YesNo If yes, age of the children:

2. Why do you want to volunteer for Bright Minds summer camp? Specify what characteristics and skills you feel you would bring to this position?

3. List subjects, activities that you could Lead or Assist:

Music: Dance: Arts/Crafts: Science: Cooking: Drama:

Chess: Reading: Math: Football: Soccer: Basketball:

Volleyball: Golf: Health/Fitness:

Other Sports: Specify sport(s):

Other Activities: Specify activity(s):

Do you play an instrument? YesNo If yes, what instrument(s):

4. Do you have any camp counseling or related experiences? YesNo

Please include role, age, location and dates:

5. What comes to mind when you hear the word, “role model?”

6. Do you have any physical limitations? YesNo If yes, please specify:

7. Do you have any tutoring experience? YesNo If yes, specify subjects:

T-Shirt Size Preference: XSSMLXLXXL Other size:

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REFERENCES (minimum of 3 required; at least 2 school/work references and 1 personal) No relatives.

1. Name: Phone: Address/City:

Relationship: Length of time known:

2. Name: Phone: Address/City:

Relationship: Length of time known:

3. Name: Phone: Address/City:

Relationship: Length of time known:

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After you fill out all relevant information above, hit the SUBMIT button and someone will contact you soon.