Please list the date(s) of youth program, event, or activity. If this individual will be working or volunteering for more than one session for the program, please list the dates of all sessions during which this individual will be involved. *
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Last name of staff/volunteer *
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First name of staff/volunteer *
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Email address for staff/volunteer *
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Is this individual already an RIT employee? *
Is this individual an RIT student? *
This individual's role/title for this program (Program Organizer, Camp Counselor, Health Director, etc.) *
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Will this individual be supervising minors at any time during this program? *
Is this individual a guest speaker, presenter, or someone who will only interact with minors for brief and intermittent activities, and will be supervised by an authorized adult at all times, and will not be responsible for minors at any time? *
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