ECU SUMMER SCIENCE CAMPS

VOLUNTEER APPLICATION FORM

(Return to Blair Driver - by April 1st)

Last Name: ______First Name: ______

Home Phone: ______Cell Phone: ______

Email Address: ______HS Graduation Date:______

School attending during the next school year:______

Emergency Contact Information:

Name:______/ Number:______
Relationship:______
Name:______/ Number:______
Relationship:______

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For the following, place an “X” by your preferred age group to work with, the topic you are most interested in, the schedule that works best for you and the week(s) of camp you would be available to volunteer for.

Grade Preference: / 2-3 graders / 4-5 graders / 6-8 graders
Topic Preference: / Life Science / Physical Science / Earth Science / Robotics
Schedule Preference: / 8:00am - Noon / Noon – 4:00pm / 7:30am – 4:00 pm
Weeks of Camp / June 22-26 / July 6-10 / July 13-17

Please identify which organization(s) you are volunteering for.

______

Past Volunteer Experiences:

______

Give a brief description of why you would like to volunteer at ECU this summer:

______