Resident Camp Volunteer Application 2023

Name *

First

Last

Camp Name (Optional)

First

Last

Birthday *

Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Please indicate your preferred pronouns. (Optional)

Email *

Will you be 18 or older by the time camp begins? *

Yes
No

Do you have ALL current clearances on file with GSHPA? *

Yes
No
In Process

Please indicate your t-shirt size. *

Previous Camp Experience *

Special Skills or Qualifications (can include hobbies, sports, job, etc.) *

Any Relevant Certifications and/or Training *

Session 1 Interests - While we cannot guarantee where you will be placed, we try our best to fit volunteers with their interests. *

Week 1 July 9-14

Please rank your 1st, 2nd, and 3rd choices from the section above. *

Session 2 Interests - While we cannot guarantee where you will be placed, we try our best to fit volunteers with their interests. *

Week 2 July 17-22

Please rank your 1st, 2nd, and 3rd choices from the section above. *

Boating

I am certified
I am interested in getting certified

Lifeguard and/or Waterfront

I am certified
I am interested in getting certified

Archery

I am certified
I am interested in getting certified

Low Ropes/Challenge Course

I am certified
I am interested in getting certified

Climbing Wall/Zipline

I am certified
I am interested in getting certified

Do you have any relatives attending camp? If so, list names, ages, and relationship *

Please note that all volunteers who have family members attending camp will not be staying in the same unit as their immediate family members.

Do you know of any reason why you would not be able to perform the essential functions for this position? *

If the answer is yes, please describe accomodations.

Indicate dates available (Mandatory staff training is Friday evening, July 7th – Sunday afternoon, July 9th *

July 9th – 14th
July 16th – 21st
July 9th – 14th AND July 16th – 21st

If not available for the times listed above, please list days/times available:

If over 25, would you be willing to drive a 12-passenger van?

Yes
No

NOTE: This will require a driver’s license.

Please indicate any dietary restrictions you have.

If you chose 'other', please explain

Do you have anything else to share with us?

GSHPA requires that all volunteers be registered Girl Scouts. If you are not currently a member, the cost is $25. *

I am a currently registered member and do not need to pay the fee. Registered after Oct. 1, 2022.
I am NOT a currently registered member and will pay my $25 registration now.

Total

Price: $ 25.00

Credit/Debit Card *

Card

Name on Card

CREDIT CARD DISCLAIMER Your security is important to us. We do not store your credit card information. Online payments are passed via a secure socket layer to a payment processor where your information is tokenized (whereby a random number is generated to represent your payment). The payment processor is PCI compliant which ensures that your information is being handled in accordance with industry security standards.

Resident Camp Volunteer Application 2023

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