2024 Summer Program Aide Application

Applicant Name*

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Phone*

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Email*

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Parent/Guardian Name*

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Parent/Guardian Phone*

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Parent/Guardian email*

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Grade in Fall 2024*

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School*

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Have you been a Program Aide for the Carpinteria Arts Center before?*

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Please write a short statement about your interest & experience with art and working with children*

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Please list any work experience or previous community service*

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Name of one reference adult reference (school counselor, teacher, etc.).*

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Reference's relationship to you*

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Reference's phone*

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Reference's email*

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How many total weeks would you like to volunteer?*

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Please mark at least 4 date options that you would be available to volunteer. All Program Aid commitments are full day, 8:30am - 3:30pm*

Week 1 June 17-21: Art in the Morning, Music in the Afternoon

Week 2 June 24-28: Art in the Morning, Music in the Afternoon (FULL)

Week 3 July 1-5 (no camp 7/4): Art in the Morning, STEAM in the Afternoon

Week 4 July 8-12: Art in the Morning, STEAM in the Afternoon

Week 5 July 15-19: Art in the Morning, STEAM in the Afternoon

Week 6 July 22-26: Art in the Morning, STEAM in the Afternoon (FULL)

Weeks 7/8: Art in the Morning, Theater in the Afternoon (FULL)

List the weeks you have chosen in order of preference (most preferred to least preferred)*

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Ex: #1, #4, #2, #3

T-Shirt Size*

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Photo Release*

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I grant LFCAC & its assignees permission to use any photographs and/or video taken during Summer Camp for promotional purposes, in print and electronic media

I agree to attend the PA training Saturday, June 15th from 10:00am - 3:00pm (lunch is provided)*

I acknowledge that I have read, understand and agree to the information provided above*

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Volunteer Signature

I acknowledge that I have read, understand and agree to the information provided above*

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Parent/Guardian Signature

My Account

2024 Summer Program Aide Application