Camp Runamuk March 8 th -11 th, 2019 Oracle, Arizona Volunteer Application Minimum volunteer age, 16 years old

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Camp Runamuk March 8 th -11 th, 2019 Oracle, Arizona Volunteer Application Minimum volunteer age, 16 years old Volunteer Information: Name: Phone: E-Mail Address: Street Address: City: State: Zip: Date of Birth: Male: Female: Driver s License #: State: Social Security #: - - Position Interested in Applying For: Please Check One Camp Pal attends camp as a one-to-one aide for all campers with special needs. Camp Counselors are responsible for working with the typical siblings throughout morning activities and providing support for afternoon/evening events. Program Leads are made up of teachers and professional therapists who facilitate the morning activities and provide support for afternoon/evening events. Why do you want to volunteer at Camp Runamuk? Have you ever volunteered at a camp before?

Volunteer and Employment Information: 1) Organization: Phone: Employed/Volunteered from (month) (year) to (month) (year) 2) Organization: Phone: Employed/Volunteered from (month) (year) to (month) (year) 3) Organization: Phone:

Employed/Volunteered from (month) (year) to (month) (year) May we contact the above employers? Yes No If No, please explain why. Training Requirements: The following are required for all Camp Pals, Camp Counselors, and Program Leads. Check all certifications that you have currently. Fingerprint Clearance Card: Can be obtained through S.E.E.K. Arizona Article 9 Certification: Monthly classes held at S.E.E.K. Arizona First Aid Certification: Can be obtained through Heart Savers CPR Certification: Can be obtained through Heart Savers Additional Requirements: The following are obligations that must be met in order to be considered for a position at Camp Runamuk. Volunteer Meet and Greet Social. Friday, February 22 nd, 6pm-8pm at S.E.E.K. Early Learning Center, 1848 N. 52 nd St., Phoenix, 85008. Come meet and get to know this year s volunteers before heading down to Oracle. Camp Training: Sunday, February 24 th, 4pm-6pm at S.E.E.K. Early Learning Center, 1848 N. 52 nd St., Phoenix, 85008. Attendance is mandatory. Arrival time at camp on Friday, March 8 th by 3pm. Departure time from camp on Monday, March 11 th around 10am. Will you need transportation to and from camp? Yes No Are you willing to drive a 15-passenger van to and from camp? Yes No Volunteers are required to be available and present for the entire camp weekend, Friday at 3pm through Monday at 10am. Volunteers will have some free-time available daily. However, camp volunteers are required to be on duty on Friday evening for the Welcome To Camp BBQ ; during all Saturday and Sunday morning activities; during all Saturday and Sunday afternoon activities; during staff meetings on Friday, Saturday and Sunday; during Friday, Saturday and Sunday night parent activities; and during Monday morning activities. Thank You Event and Awards Ceremony. Friday, March 22 nd, 7pm-9pm at AMF Tempe Village Lanes, 4407 S. Rural Rd. Tempe, 85282.

Remember, you are camping! You will not be sleeping in a hotel room, but rather a rustic cabin with several groups of bunk beds. A communal bathroom is shared by all volunteers. Personal or Professional References: References cannot be a family member and must be over the age of 18. 1. Name: 2. Name: 3. Name: How were you referred to Camp Runamuk?: Family/Volunteer Name: Family/Volunteer Name: Other: Please answer the questions below: All questions must be answered to be considered for a volunteer position with camp Runamuk. 1) Have you ever been charged with or convicted of a felony? Yes No 2) Have you ever been charged with or convicted of any crime involving a sex offense, an assault or the use of a weapon? Yes No 3) Have you ever been charged with or convicted of any crime involving the use, possession or the furnishing of drugs or hypodermic syringes? Yes No

4) Are you seeking to volunteer to satisfy court-ordered community service? Yes No If you answered YES to any of the above items, please explain. 5) I authorize and give Camp Runamuk my permission to run a background check/search on me. Yes No 6) I can speak Spanish: Yes No Other languages: Sign Language: Yes No 7) Please list any special skills, hobbies or interests you may have: 8) I would like to share accommodations with these volunteers: 9) Food Allergies: 10) T-Shirt Size: (Circle One) S M L XL XXL Preference of Camper: Male Female (If applying for a Camp Pal position) Age 6 and under Age 7-8 Age 9-11 Age 12-14 Age 15+ I willingly submit the information on this application as current and correct. I consent to a criminal background check and the checking of my references. I understand that I am applying for a volunteer position, but am committed and fully understand that as a participant, I may be photographed during activities and that these photographs/video clips may be used in the future at the discretion of Camp Runamuk and its affiliates. There will be no financial compensation for use or publication of the photographs/videos. I understand and will comply with the schedule and policies of Camp Runamuk. I am not, nor will I be, under the influence of any chemical substance (other than prescription medication) while at camp. SIGNATURE DATE We must have your signature if you wish to be considered for a volunteer position.