2024 Camp Volunteer & Junior Counselor Application

MKI Volunteer & Junior Counselor Application

Thank you for your interest in volunteering for Mountain Kids, Inc. Our volunteers are the most important part of making our summer a success! We are looking for responsible individuals who would like to further enhance their leadership skills by setting an example to the youth in our area. This application is to be completed by volunteers who will work directly with the children of MKI Summer Day Camps. Volunteers and Junior Counselors should plan to attend a volunteer work day and training event prior to the start of camp. If you are unable to attend, please contact Amanda Queen, at 276-202-5437 to review information before the first day of camp. A background check is required for all volunteers ages 18+. Information provided will be kept confidential.
Volunteer Name*

First NameLast Name
Primary Phone Number*

Area CodePhone Number
Social Security Number*
Birth Date*

MonthDayYear
Permanent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Gender*

MaleFemale
Driver's License #*
State Issued*
Employer / School
Occupation
Will you meet the age requirement of 18 years old prior to the first day of camp?*
Have you ever been convicted of a felony or misdemeanor other than minor traffic offenses?*
T-Shirt Size*
Emergency Contact Information
Emergency Contact *

First NameLast Name
Emergency Contact Relationship*
Emergency Contact Primary Phone*

Area CodePhone Number
Volunteer Opportunities

Please tell us a little about yourself!
Which camp session(s) are you available to volunteer?*

Around the World in 4 Days - June 17-20Creative Creatures - June 24-27High Adventure Camp - July 8-11Create Your Own Summer Camp - July 15-18Faith Moves Mountains - TBDOffice Work/Set-Up/Tear Down/Etc.Other
Describe your camping experiences below. Include family, Scouting, and other camping experiences. Please include location and dates.*
Describe your experiences working with children. Include and experience gained with and outside of Mountain Kids Camps.*
Do you have any specific areas of training/experience that may be directly related to one of our camping activities?
If you would like for MKI to send a letter of volunteer hours for the summer to your school/employer for your service to our non-profit, please list the name, company, and address:
Mailing Address:
Do you have any current First Aid, Lifeguarding, CPR or other certificates?
What age level of children do you most enjoy working with? Why?

Skills Inventory*

	Lead	Assist	Interested	Not Interested
Basic Camp Skills
Backpacking
Hiking
Outdoor Cooking
Leading Songs
Drama
Dance
Kayaking
Swimming
Low Ropes Course
Rock Climbing
Caving
Belaying
Nature Sciences
Plant Life/Trees
Insects
Animals/Birds
Geocaching
Fishing

Give an example of a situation where you had to take a leadership role. Describe the situation and the outcomes of your leadership.
References

Please list two references.
Name*
Relationship*
Phone Number*
Name*
Relationship*
Phone Number*

MKI Volunteer & Junior Counselor Application

Emergency Contact Information

Volunteer Opportunities

References