Camp COPE Camper Application

Personal Information

Nick Name

Cell Phone(Required)

Home Phone(Required)

Email(Required)

Social Security #(Required)

Date of Birth

Marital Status

Race/Ethnicity

Military Affiliation

Emergency Contact Name

Emergency Contact

Volunteer Opportunities

Mark appropriate boxes

Activity Volunteers

Describe what activities (i.e.: Waterfront, Art, Sports, Music, Nature, Ropes etc.) you would like to teach/assist and explain your level of proficiency and experience with these activities. (H.S., college, intra-murals, hobby, competitive etc.) Please indicate any certifications you may hold.

Grief Activity Facilitators (Grief Chiefs)

GC’s are responsible for a group of campers during a scheduled grief activity. Explain your experience with grief counseling and indicate education and certifications you may hold.

1. BRIEFLY DESCRIBE YOUR REASONS FOR WANTING TO VOLUNTEER TO WORK AT CAMP ERIN.

2. DO YOU HOLD AMERICAN RED CROSS CERTIFICATES?

(Check all that apply, with certification dates)

Date

3. BRIEFLY DESCRIBE WORK OR VOLUNTEER EXPERIENCES RELATED TO CHILDREN

(Please attach your resume with details)

Please describe work or volunteer experiences related to children

Please Upload Your Resume

Max. file size: 1 GB.

IF YES, please specify to what and the nature of your reaction

8. ANY MEDICAL CONCERNS THE CAMP STAFF/NURSES SHOULD BE AWARE ABOUT?

Name (to act as signature)(Required)

Date

Camp COPE Camper Application

Personal Information

Volunteer Opportunities

2. DO YOU HOLD AMERICAN RED CROSS CERTIFICATES?

3. BRIEFLY DESCRIBE WORK OR VOLUNTEER EXPERIENCES RELATED TO CHILDREN

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