CBS Allergy Pals Mentor Application

Mentor Application

Thank you for your interest in our new online peer mentoring program for campers of Camp Blue Spruce. We are seeking mentors aged 18-25 who have food allergies. We are excited to learn more about you and see if you are a fit for our program.

* Indicates a Required Question

Question Title

* Mentor:

First and Last Name:

Camp Name (If applicable):

Question Title

* Birthdate:

Month/Day/Year:

Date

Question Title

* Gender

Female

Male

Question Title

* Mailing Address:

Address Line 1: *

Address Line 2:

City: *

State: *

ZIP: *

Email Address

Home Phone Number (include area code): *

Cell Phone Number (include area code): *

Question Title

* Number of years attended/worked at Camp Blue Spruce:

Question Title

* Are you planning to work/volunteer at Camp Blue Spruce 2018?

Yes

Maybe

If maybe, please specify

Question Title

* Allergies:

Page1 / 3