Camp Kinard Volunteer Application

Must be 18 years of age or older.
Must have reliable transportation to and from the weekend retreat, and for the entire time.
Meals and lodging will be provided by Camp Hands of Hope.
You will be lodging in a room with other volunteers of the same gender.
We do not accept room assignment requests for lodging.
You will be staying in bunk beds so we encourage you to bring a sleeping bag/blanket along with your own pillow for comfort.
You must complete the volunteer training and quiz, and the virtual training session prior to attending camp.
MANDATORY TRAINING: these sessions are held online. You MUST be able to attend training on BOTH of these dates: Thursday, October 5th, at 7:00PM (large group training) and Thursday, October 12th, at 7:00PM (small group training).
PLEASE READ CAREFULLY: before completing an application to volunteer at our upcoming camp event, please double check your schedule for work or school conflicts, including clinical hours, exams, and projects, and for other conflicts that would prevent you from volunteering for the ENTIRE camp event weekend. The cost to vet a volunteer from administrative and interviews to background checks costs us approximately $250.00. If a volunteer cancels or withdraws after we have started the vetting process,valuable resources are taken away from those individuals who are able to volunteer the ENTIRE camp event weekend. If there is a potential schedule conflict, please discuss with us before applying.

Date of Birth (MM/DD/YYYY) *

Have you ever been charged and or convicted of any type of sexual misconduct? *

Yes No

If you selected YES to the previous question, please explain. Otherwise type N/A (we run background checks on all potential volunteers) *

Occupation *

Volunteer's T-Shirt Size *

Employer *

Contact Information

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email (one you check frequently) *

Primary Contact Phone Number *

Secondary Contact Phone Number *

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

Camp Information

Bereavement Information

Medical Information
This information will only be utilized and referenced by the Camp Director and Camp Nurse. Information disclosed in this section is considered confidential and will not impact your opportunity to volunteer in any way.

Do you have an allergies or dietary restriction? (if yes, please explain; if no, please type "n/a") *

Do you take any prescription medications? *

Do you have any medical, physical, or mental health conditions of limitations? (if yes, please explain; if none, please type "n/a") *

Are you able to get on the floor/ground and interact with children at their level? *

Yes No

Volunteer spaces are limited. Volunteers with certified/licensed experience working with end of life issues, bereavement, and youth will be given preferred placement ahead of those who are not certified/licensed. Although we attempt to place every volunteer, we reserve the right to decline applications as needed. Thank you for understanding!

Statement of Confidentiality *

I understand that during the course of volunteering with Camp Hands of Hope, a program under the Hospice & Palliative Care Foundation, I may learn certain facts about individuals and families. All of the information that I may have or potentially have access to regarding any of the families is confidential. By checking this box and typing your name below, you understand that all of the information you have access to must be kept confidential. Under no circumstances am I allowed to disclose any information regarding any of the families or children to friends, family, media, or any other unauthorized or unaffiliated persons for any reason. If there is a media inquiry, I will forward it along to the Associate Director of Camp Hands of Hope.

Statement of Consent for Background Check *

By checking this box and typing your name below, you agree to allow the Hospice & Palliative Care Foundation, through Camp Hands of Hope, to run a background check on you. I understand and give them permission to review and keep this document on file. I understand that my ability to volunteer may be determined and/or influenced by the results of the background check.

Please read and check box below *

I hereby certify that all of the information above is accurate to the best of my knowledge.

Volunteer Application Please fill out on a laptop (not a phone) and scroll up when finished to ensure your application is submitted. If you have any questions of whether your application was successfully submitted, email us at camphandsofhope@hpcfoundation.org.

Contact Information

Camp Information

Bereavement Information

Medical InformationThis information will only be utilized and referenced by the Camp Director and Camp Nurse. Information disclosed in this section is considered confidential and will not impact your opportunity to volunteer in any way.

Volunteer Application

Please fill out on a laptop (not a phone) and scroll up when finished to ensure your application is submitted. If you have any questions of whether your application was successfully submitted, email us at camphandsofhope@hpcfoundation.org.

Medical Information
This information will only be utilized and referenced by the Camp Director and Camp Nurse. Information disclosed in this section is considered confidential and will not impact your opportunity to volunteer in any way.