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Junior Docent Program

Group of teenagers in a rocky desert landscape, holding their hands up so as to appear to be supporting a large rock above (and behind) them

Parent Form
To be completed by Parent

Before beginning, please be aware that you may not save information to this form.

Student Name: First Last
Parent #1 Name: First Last
Parent #1 Phone Numbers: Cell: Text? Yes No
Work:
Parent #1 Email Address:
Parent #2 Name: First Last
Parent #2 Phone Numbers: Cell: Text? Yes No
Work:
Parent #2 Email Address:
Emergency Contact Name: First Last
(This person should be different than Parents #1 and #2 listed above)
Emergency Contact Phone Numbers: Cell: Text? Yes No
Work:
How did you hear about the Junior Docent Program?

Please be honest in the assessment of your child below. I’m not looking for perfect teens! I like to bring on a good mix of youth with different strengths to share and weakness on which to improve.

Dependability
Above Average Average Satisfactory Needs Improvement
Maturity
Above Average Average Satisfactory Needs Improvement
Flexibility
Above Average Average Satisfactory Needs Improvement
Sense of humor
Above Average Average Satisfactory Needs Improvement
Self-confidence
Above Average Average Satisfactory Needs Improvement
Interest in improving the state of the environment
Above Average Average Satisfactory Needs Improvement
Ability to function as a member of a cooperative group
Above Average Average Satisfactory Needs Improvement
Ability to follow directions
Above Average Average Satisfactory Needs Improvement
Ability to cope with stressful situations
Above Average Average Satisfactory Needs Improvement
Eagerness to learn
Above Average Average Satisfactory Needs Improvement

To complete the application process, have your child submit the Student Application.

Questions? Contact Amy Orchard 520-883-3083 or aorchard@desertmuseum.org

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