Junior Mentor Application

Please note that all Junior Mentor positions during the 2011 Summer Camp season are now totally full.

At Spences Farm Junior Mentors assist with Mentors with our daily duties, including (but not limited to): Mentoring Rainbows & Trailblazers; Working in the Garden; Assisting with Horsemanship Lessons; Feeding Goats and Chickens.

General Information

* Name

* Age

* Date of Birth

* Address

* Phone Number

* Email

* Have you been a camper at Spence's Farm? If so, for how many years?

* Have you been a junior mentor at Spence's Farm? If so, for how many year?

* How did you first learn about Spence's Farm Junior Mentor Progam?

* Why do you want to be a Junior Mentor?

Personal Information

* Who or what has had the most influence in your life?

* Tell us about yourself. What are your hobbies, talents, skills and interests? Don'tbe afraid to brag!

* What do you hope to gain from this experience?

* List and describe any experience you have had working with children

* List any clubs, groups, or programs that you are or hae bee involved with.

* Do you have any experience with horses? Riding, grooming, handling, and leading? Explain. If no, would you feel comfortable in helping with the horses when necessary?

Personl References
List two persons who are not relatives, and one who is a relative

* Name

* Phone #

* Relationship to you

* Name

* Phone #

* Relationship to you

* Name

* Phone #

* Relationship to you

Person to be contacted in case of emergency or illness:

* Name

* Phone #

* Relationship to you

* Indicates Response Required