Application
for Sempai (Junior Assistant) Volunteer Position
Application due:
2008
June 23rd-
27th;
Graduation night:
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*Please also fill out
the highlighted parts to the registration form so that we have your medical
information & emergency contacts on file.*
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Applicant’s
Name Parent/Guardian’s
Name
Complete Mailing
Address
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Date
of Birth E-mail
Address Phone Number
Check all that
apply
____
Yes, I will have successfully completed the 7th grade by June of
2008.
____
Yes, I can volunteer every day of KSP (June 23rd-27th) all day (
____
Yes, I can attend the general orientation on
____
Yes, I can attend Matsuri Night on
____
This volunteer position helps me fulfill a community
service requirement.
____
Yes, I’m a previous Sempai. How many years? _____ What
grade levels? ______
Please
return the completed application as soon as possible, but no later than
c/o Lisa Hara, KSP Sempai Coordinator
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Applicant’s
name
Please
answer the questions below to the best that you can (you may use separate paper
if necessary):
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Applicant’s
name
Many
situations may arise with students during the program. We are interested in how
you would handle the following situations. Please write your complete responses
to the questions below & use separate paper if necessary.
Please
list two adult references (no relatives or KSP personnel), and include their
name, telephone number, or e-mail address.
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Applicant’s
Signature Date
Parent/Guardian
Signature Date