White Memorial Camp Volunteer Application Form

Date*

How did you hear about us?

Social Media
Had a family member/friend in the program
Referred from friend
Newspaper ad
Church group
Internet search (i.e. Craigslist, volunteer site, Google)
Other

Where?

Contact Information

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone (Home)*

Phone (Cell)

Phone (Workl)

Email*

Preffered Communication*

Call
Text
Email

Why do you seek to volunteer with White Memorial Camp?*

Do you know which job/position you wish to apply for? If so, which?

Tell us where you can see yourself having an impact at camp. (Check all that apply)*

If checked other, please indicate

If you know a specific camp, event, group, program, job/task, or other that you wish to volunteer for please list them here

With whom do you prefer to work?*

Directly with children
Directly with adolescents
Directly with families
Directly with adults
Directly with adults with developmental disabilities
Directly with children with developmental disabilities
By myself

Availability

Month*

Weekends*

Mornings
Afternoons
Evenings

Weekdays*

Mornings
Afternoons
Evenings

Specific dates of availability

Special Skills or Qualifications

Please check certifications that apply and write out your special qualifications and personal skills acquired from volunteer work, previous employment, or personal hobbies/sports.

CPR/First Aid certified
Lifeguard Certified
Valid Drivers License
Challenge/Ropes Course Certification
Fishing License
Waterfront training
Food handlers permit
Serve Safe or other cooking certificates

Please list any other certifications/licenses/qualifications and special training you may have.

Special Skills/Talents

Previous Volunteer Experience

List Activities, roles, experiences or organizations

Education

I am still in high school*

Yes
No

Age*

Grade

I have completed*

If Applicable, please provide the college you currently attend and grade level

If Applicable, list the name of the college(s) or university(s) you graduated from, and degree/certificate

Employment History

Provide details of some of your work history

Employer

Position

Dates of Employment

Employer Phone Number

Reason for leaving

Employer

Position

Dates of Employment

Employer Phone Number

Reason for leaving

Employer

Position

Dates of Employment

Employer Phone Number

Reason for leaving

References

Reference 1

Name Relatrionship Contact Information

Reference 2

Name Relatrionship Contact Information

Reference 3

Name Relatrionship Contact Information

Emergency Contact

Name Phone Number Alternate Phone Number

Signature*

Volunteer Privacy Information and Release Authorization
I certify that all information in this application is true and complete. I understand that any false information or omission may disqualify me from further consideration for volunteer service and may result in my dismissal, if discovered, at a later date. References I authorize and release personal references, employees, and if necessary, other applicable entities to answer questions in regard to volunteer work, employment, ability, character, and, if applicable, driving history. National Sexual Offender Registry Database Check I understand, in consideration of my application, my name will be entered into the National Sexual Offender Registry. Criminal Background Check I understand, in consideration of my application, a background investigation may be conducted in areas relevant for the volunteer position for which I have applied. Signature It is the policy of White Memorial Camp Management Inc. to provide equal opportunities without regard to race, religion, color, ethnicity, sex, disability, national origin, ancestry, age, status as a veteran, sexual orientation, marital status, parental status, gender identity, gender expression, or genetic information.. Thank you for completing this application and for your interest in volunteering with us!

Name

This field is for validation purposes and should be left unchanged.

White Memorial Camp Volunteer Application Form