Name *

First Name

Last Name

Phone *

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Language(s) Spoken *

Arabic

Chinese

English

French

Japanese

Portuguese

Russian

Spanish

Other

Availability *

Please select one or more options

Ongoing, Weekday Commitment

One-Week Summer Camp

Weekend (4 Hour Shift)

Weekend (8 Hour Shift)

Which of these would be of interest? *

Please select one or more options

Camp Counselour

Program Director

Executive Assistant

Volunteer

Youth Tutor

Sports & Activities

Other