2021 Volunteer Application

ELIGIBILITY:
* Horizons volunteers must have completed at least 7^th grade.

* Priority will be given to those who have volunteered at one or more Super Saturdays during the Horizons school-year program. 

* Once selected as a Horizons volunteer, all volunteers are required to attend one orientation meeting, to sign the Code of Conduct, and to complete all necessary paperwork. 

* As a learning opportunity, all volunteers are expected to participate in one or more fundraising activities to truly understand all aspects of our organization.

* All Horizons volunteers are strongly encouraged to participate in Horizons Giving Day on May 12. A link to register for this important initiative will be sent upon acceptance. Prizes will be awarded for outstanding performance.

* All Horizons volunteers will be expected to sell at least $100 of raffle tickets. There will be prizes for outstanding performance including a special field trip for that volunteer's class. 

(* Denotes Required Fields)

About You
First Name: *
Last Name: *
Date of Birth (MM/DD/YY): *
Age: *
2020-2021 Grade: *
School: *
Street Address: *
City: *
State: *
Zip Code: *
Confirmation Email: *
Parent/Guardian 1 First Name: *
Parent/Guardian 1 Last Name: *
Parent/Guardian 1 Email: *
Parent/Guardian 1 Phone: *
Parent/Guardian 2 First Name:
Parent/Guardian 2 Last Name:
Parent/Guardian 2 Email:
Parent/Guardian 2 Phone:
Person to contact in case of emergency during summer (if not one of the parents/guardians above):
Emergency Contact Relationship:
Emergency Contact Phone Number:
Emergency Contact Email:
Have you volunteered for Horizons previously?: *	Yes No
If yes, how many years?:
If yes, who was your lead teacher?:
Experience
Previous Community Service Experience: *
Academic and extra-curricular areas of interest:: *
Special Skills: (for example coding, wilderness training, foreign language proficiency, musical abilities, etc.):
Reflection
Why is volunteering and community service important to you, and what do you expect to gain from your volunteer experience at Horizons? (Limit to 300 words or less): *
References
Reference 1 Name: *
Reference 1 Email: *
Reference 1 Phone Number: *
Relationship to Reference 1: *
Reference 2 Name: *
Reference 2 Email: *
Reference 2 Phone Number: *
Relationship to Reference 2: *
Summer Schedule Preference and Availability
Note: Horizons encourages applicants to consider their schedules when ranking your choices for placement. Volunteers are eligible to apply for 2, 3, 4, or 6 week placements. The following are the volunteer schedule choices:
Day(s) / time(s) I am able to volunteer: Please note, dates are subject to change. Please rank your first, second and third choice from the following options:
Full 6 Week Program (June 21-July 30) All six weeks volunteer will be encouraged to take two days off with at least one day's notice.:	1 2 3
First 3 Weeks (June 21-July 9):	1 2 3
Last 3 Weeks (July 12-July 30):	1 2 3
2 Week Session A (June 21-July 2):	1 2 3
2 Week Session B (July 6-July 16):	1 2 3
2 Week Session C (July 19-July 30):	1 2 3
Preferred Horizons Site (we will make our best effort to accommodate your first choice site, but please understand we may need to ask for your flexibility as volunteers may be needed at another site.):	Horizons at CBA Horizons at RCDS I'm flexible
I am a certified lifeguard.:	Yes No
I am a certified swim instructor.:	Yes No
Understanding
I understand that this application is no guarantee of placement as a Horizon Volunteer. If selected, I will attend each day I am assigned. I understand that I must attend an orientation session, sign and return the Volunteer Code of Conduct, and complete and return all other required forms to be accepted as a volunteer.: *	Yes No
Thank you!
You will hear from Ms. Hohenleitner regarding volunteer placement on a rolling basis beginning in early May. If you need to alter your dates of availability or make any other change to your application, please contact Ms. H. at lhohenleitner@horizonsjerseyshore.org. Thank you!