Application for Other Library-Hosted Project "*" indicates required fields InstagramThis field is for validation purposes and should be left unchanged.Name* First Last Date of Birth* MM slash DD slash YYYY Age*Grade Level*6789101112Beginning in June 2022, please use the Grade Level you will be in Fall 2022.Which school will you be attending?* Garden City Middle School Garden City High School Home Schooled Other If you chose "Other," please list your school:Email* Home Phone*Cell PhoneDo you have a Garden City Public Library Card?* Yes No Title of Project/Program:*Description of Project:*Are you working with an organization, such as the Girl Scouts or Boy Scouts?* Girl Scouts Boy Scouts No organization Other Choose one.Are you working with a parent or adult mentor on this project?* Yes No Choose one.If you chose "Yes" above, what is the name of the parent or adult mentor? First Last Is this project helping you toward earning a specific service award?* Yes No Choose one.If you chose "Yes" above, what is the name of the award?How many community service hours do you think you will need to complete this project?Which charity (or charities)/organization(s) does your Service Project/Program benefit?When does the project need to be completed?* MM slash DD slash YYYY Are you required to fulfill a specific number of volunteer hours?* Yes No Choose one.If you answered "Yes" above, how many volunteer hours are required?When do you have to complete the volunteer hours? MM slash DD slash YYYY Which Organization Requires the Hours?Please provide a detailed description of what your program will entail:Is there anything else you would like us to know as we consider your application?How did you hear about the Teen Community Service Project Application?ReferencesList three people who know you well enough to give information about you.Name* First Last Reference 1Email* Reference 1Phone*Reference 1Relationship to you:*Reference 1Name* First Last Reference 2Email* Reference 2Phone*Reference 2Relationship to you:*Reference 2Name* First Last Reference 3Email* Reference 3Phone*Reference 3Relationship to you:*Reference 3For Parent/GuardianI have thoroughly read my teen’s Teen Community Service Project Application and have given my teen permission to work on this Teen Community Service Project.* Yes Parent's Name* First Last Date* MM slash DD slash YYYY CAPTCHA Δ
