* 1. Name of Applicant:

* 2. Nickname (if any):

* 3. Gender:

* 4. Date of Birth:

* 5. Address:

* 6. Home Phone:

* 7. Cell Phone:

* 8. Email:

* 9. Preferred method of contact:

* 10. T-Shirt Size (Adult):

* 11. What is you Race/Ethnicity?

* 12. Are you employed?

* 13. If employed, what company do you work for and what is your title?

* 14. Are you currently enrolled in school?

* 15. If in school, where do you attend and what is your major?

* 16. What languages (other than English) do you know?

* 17. Highest level of education you have completed:

* 18. Camp Mariposa location:

* 19. How did you hear about the Camp Mariposa program?

* 20. Briefly describe why do you want to be a volunteer with the Camp Mariposa program?

* 21. Camp Mariposa requires at least two references for all volunteers. One of the references must be a professional reference. Please feel free to provide any additional references to help us ensure the completion of your application in a timely manner.
Please include the following: Name, relationship, years known, telephone number, email, physical address, and preferred method of contact.

Reference 1:

* 22. Reference 2:

* 23. Reference 3:

* 24. Reference 4:

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