NORTH CAROLINA AQUARIUM AT PINE KNOLL SHORES 1 Roosevelt Blvd., Pine Knoll Shores, NC 28512 (252) 247-4003 Fax: (252) 247-0663 www.ncaquariums.com Junior Volunteer Application Junior Volunteer application process: 1. Complete the Junior Volunteer application and acquire a letter of recommendation from a science teacher, or guidance counselor, to be submitted to the Assistant Volunteer Coordinator by April 30th. 2. Student interviews with the Assistant Volunteer Coordinator. 3. If accepted to the program, the student must attend an orientation before starting his/her volunteer service and the student must pay the $25 program fee. This program runs in two separate summer sessions. The first session runs from June 13 – July 17. The second session runs from July 18 – August 21. Junior Volunteers are required to put in a minimum of 40 hours during their sessions. Space is limited per session. Orientation will be held on June 11 and July 16 at 8:30 AM. The Junior Volunteer Program requires a thoughtful time commitment to completing a designated number of hours over a set time period. Students, who have summer plans that prohibit the student from actively participating in five consecutive weeks of volunteerism, should not apply for this program. Personal Information Full Name: Last First M.I. Address: Street Address Apartment/Unit # City State Phone: Birth Date: Parent/Guardian Name: ZIP Code E-mail: Grade & School: Parent/Guardian Phone: Please take your time and answer the questions on the following page in detail. DEPARTMENT OF NATURAL AND CULTURAL RESOURCES PAT MCCRORY, GOVERNOR SUSAN KLUTTZ, SECRETARY DAVID R. GRIFFIN, DIVISION DIRECTOR 1. Why are you interested in becoming a volunteer at the Aquarium? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 2. Describe any past experiences you think would be beneficial to the volunteer program at the Aquarium (this includes classes, camps, workshops, etc.). ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ________________________________________________________________________________________________________ 3. Describe personality traits you possess that could be useful for volunteering with the public at the Aquarium. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 4. List at least two goals you would like to set for yourself if given the opportunity to volunteer at the Aquarium. How would you achieve these goals? ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ 2 5. Are there any topics or issues you are particularly interested in exploring during your time at the Aquarium? This may include a specific animal or animals and conservation issues. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 6. What are your college and career goals? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 7. How did you hear about the Junior Volunteer Program? ______________________________________________________________________________ ______________________________________________________________________________ 3 Reference Letter: To be considered for the Junior Volunteer Program you must have one reference. The reference can be from a teacher you have had in the past 2 years or a school counselor. No form letters or letters from family or friends will be accepted. Please complete the following information for your reference and either include their letter with this application or ask them to mail it to us no later than April 1, 2016 to ensure it arrives by the due date of April 30, 2016. Include NC Aquarium mailing information for the writer of your reference letter if you choose this option. Name___________________________________________________________________ Address_________________________________________________________________ Home Phone (____)___________ Work Phone (____)____________ E-mail __________________________________________________ How does this person know you? ____________________________________________ Acknowledgment: I certify that the statements made in this junior volunteer application are true and correct, and I have not knowingly withheld any information. If the information provided in this document is found to be untruthful, I understand that I will be released from the junior volunteer program. I authorize verification of all information contained in this application and grant permission for references to be contacted. I understand that I will not be paid for my services as a junior volunteer, and that filling out an application for the program does not guarantee acceptance into a volunteer position. I understand that as a Junior Volunteer at the North Carolina Aquarium, I will be expected to demonstrate a serious commitment to uphold the mission of the Aquarium, to maintain an environment of integrity for people and the animals, and to focus on customer service, with respect for all employees, volunteers and guests. I agree to follow all Aquarium guidelines and policies. Signature___________________________________________ Date_____________________ Parental, guardian consent: As a parent or legal guardian of this young person, I certify that the information in this application is true and correct. I grant permission for references to be contacted. Signature____________________________________________ Date______________________ North Carolina government policy prohibits discrimination based on race, sex, color, creed, national origin, age, or disability. 4