Junior Volunteer Program
This application is due no later than February 26th for students wishing to participate in the Junior Volunteer program for the Summer of 2027. A letter of recommendation is not required but highly recommended as an additional submission along with this application. If you have any questions or concerns about your application, please email JuniorVolunteers@capefearvalley.com.
Name
*
First Name
Last Name
Birth Date (must be 16 years of age or older by June 1st, 2027)
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age
*
Current Grade Level
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Student Email
*
example@example.com
Personal Email
*
example@example.com
Parent or Guardian Name
*
First Name
Last Name
Parent or Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent or Guardian Email
*
example@example.com
Secondary Contact
*
First Name
Last Name
Secondary Contact Relationship to Student
*
Secondary Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Secondary Contact Email
*
example@example.com
How did you hear about the Junior Volunteer Program?
Track Preference (1 or 2)
*
Track 1: June 7 - June 18
Track 2: June 21 - July 2
School Name
*
Reference Name (if applicable)
Reference Email (if applicable)
example@example.com
Reference Phone Number (if applicable)
Please enter a valid phone number.
Format: (000) 000-0000.
Submit
Should be Empty: