Returning Jr. Counselors 2021 – Capen Hill Nature Sanctuary

This form needs to be filled out by all volunteers.

Returning Jr. Counselors (CIT or Counselors In Training)

Ages are 14 and up. You will be at Camp to help with the groups of campers according to age as well as get community service hours. Meeting Date to be announced!
Name*
First Last
Street and Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Phone*
A short description of any previous experience.
List 3 references and phone numbers.
Additional Information you would like us to know.
If there is any emergency while I am volunteering, please contact:*
Name
First Last
Phone
Cori Info Needed: First Name, Last Name, Middle Name*
Cori Info Needed: Place of Birth*
Cori Info Needed: Date of Birth*
Cori Info Needed: Last Six Numbers of Social Security*
Current Address*
Cori Info Needed: Mother's First Name, Last Name and Maiden Name
Cori Info Needed: Father's First and Last Name
Cori Info Needed: State Driver's License Number If Applicable
Upload Vaccination Record
Copy of your vaccination record needed. You may also have the doctor's office mail it to Capen Hill Nature Sanctuary, P.O. Box 218, Charlton City, MA 01508
Weeks you would like to volunteer (can always change)*
- Select All
- Session 1 (July 5- 9)
- Session 2 (July 12-16)
- Session 3 (July 19-23)
- Session 4 (July 26-30)
Camp runs for 4 one week sessions from 8:30 to 3. You can pick as many weeks as you want. If you want to change your plans. you are able to do so but you need to let the director know.