2022-23 Volunteer Application and Agreement

Volunteer Application & Agreement
INSTRUCTIONS: Please complete all information and e-sign this application. This form must be complete before your volunteer activities may begin.
Name*

First NameMiddle NameLast Name
What are your pronouns?*

He/HimShe/HerThey/ThemOther
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*
Please enter a valid phone number.
Cell Phone*
Please enter a valid phone number.
Email*
example@example.com
Emergency Contact:*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Are you at least:*

18 years of age?21 years of age? (For driving purposes)
Do you have relatives working for Camp Fire? (Can be volunteers or paid employees)*

YesNo
Please provide the name(s) of relatives working for Camp Fire:

Certifications and Licenses

Please indicate any certifications, training and/or workshops that you have that might be helpful in working with Camp Fire Inland Northwest. Please include the date of certification and expiration dates (even If the certification has lapsed).
Please list all pertinent certifications/licenses:
First Aid/CPR/AED, Lifeguard Certification, Registered Nurse, Archery Instructor, CPA, etc.

Experience
Have you ever been employed by or volunteered for Camp Fire before?*

YesNo
Complete the statement: I last volunteered with Camp Fire Inland Northwest...*

Within the last 3 years4 to 9 years ago10 or more years ago

Tell us about your volunteer/work history serving youth. Please include the organization name, date(s) and description of how you served.*
Why are youth programs important?*

Required Recommendations/References
RECOMMENDATIONS

Candidates for appointment are required to submit THREE (3) written recommendations. NO RECOMMENDATIONS FROM FAMILY MEMBERS WILL BE ACCEPTED.

Both freeform Letters of Recommendation and completed Recommendation Requests (links found below) are acceptable. By clicking the links below, you will open a new tab; copy and paste these two links into emails and send to your desired recommenders.

PRINTABLE RECOMMENDATION REQUEST

ONLINE RECOMMENDATION REQUEST

ALL RECOMMENDATIONS MUST BE SUBMITTED AND RECEIVED BY THE CAMP FIRE OFFICE PRIOR TO AN OFFER OF APPOINTMENT. *NOTE: Your application confirmation email will also contain the link to the online form.

REFERENCES

Please provide three references (cannot be family members) that you have known for a minimum of two years.

	Please complete each box:
Name
Phone
Email
Relationship to you

	Please complete each box:
Name
Phone
Email
Relationship to you

	Please complete each box:
Name
Phone
Email
Relationship to you

VOLUNTEER AGREEMENT

I agree to make a volunteer commitment of my services for a period as determined by my program/area of interest. I agree to fulfill the responsibilities of this position, as described in the job description, to the best of my ability. I understand that this agreement is dependent upon successful completion of a multi-state Background Check and that the return of a negative background check will result in the immediate nullification of this agreement.

I consent to the issuance and use of any photographs, slides, video and/or audio recording of me during and/or after my service with Camp Fire and to the use of quotes, whether for advertising, promotional, and/or publicity purposes by Camp Fire Inland Northwest, United Way Community Fund, American Camp Association or other member groups of which Camp Fire may be a member.

As a representative of Camp Fire Inland Northwest, I acknowledge that I am a role model for youth and agree to the following statements with regard to my participation on social media channels while in service to Camp Fire Inland Northwest: A) If I am under 21 years of age I will not be seen on social media channels getting visibly drunk; B) I will not make any mention of drugs or illegal activity; this includes pictures of drugs or participation in illegal activities; C) I will not be seen on social media channels engaging in inappropriate displays of affection; D) I will not engage in making alcohol or drug related references, conversations, or applications on social media channels; E) I will not post risque or suggestive photographs.

If at any time, I find I am no longer able to continue in this position with Camp Fire Inland Northwest, I may contact the Program Manager and withdraw my agreement. Every effort will be made to provide at least two weeks notice prior to my resignation. I understand that I am responsible to the Program Manager and I may contact them at 509-747-6191 with any questions or concerns that I may have regarding my position.
Sign Here*

Clear
Should be Empty:

	Institution	City/State	Major	# of years completed
High School or GED
College/University
Graduate School
Vocational/Technical

Volunteer Application & Agreement

Interest

Certifications and Licenses

Experience

Required Recommendations/References