Name of Applicant:

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* 1. Name of Applicant:

Nickname (if any):

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* 2. Nickname (if any):

Gender:

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* 3. Gender:

Date of Birth:

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* 4. Date of Birth:

Address:

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* 5. Address:

Home Phone:

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* 6. Home Phone:

Cell Phone:

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* 7. Cell Phone:

Email:

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* 8. Email:

Preferred method of contact:

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* 9. Preferred method of contact:

T-Shirt Size (Adult):

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* 10. T-Shirt Size (Adult):

What is you Race/Ethnicity?

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* 11. What is you Race/Ethnicity?

Are you employed?

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* 12. Are you employed?

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

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

Are you currently enrolled in school?

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* 14. Are you currently enrolled in school?

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

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

What languages (other than English) do you know?

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

Highest level of education you have completed:

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* 17. Highest level of education you have completed:

Camp Mariposa location:

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* 18. Camp Mariposa location:

How did you hear about the Camp Mariposa program?

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

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

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

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:

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* 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:

Reference 2:

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* 22. Reference 2:

Reference 3:

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* 23. Reference 3:

Reference 4:

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* 24. Reference 4:

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