Support Staff Form

Coldstream Support Staff Form

Thank you so much for your interest in serving with us this summer! We are so excited to potentially work with you this summer.

Please note that completion of this form does not guarantee acceptance of service. Housing is limited and not guaranteed, and you may be in close quarters with other volunteers.
Name*

First NameLast Name
Primary Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What week/s are you interested in serving?*

Day Camp I (PreK-3rd)Elementary Camp Overnight (3rd-5th)Day Camp II (3rd-5th)Middle School Camp (6th-8th)High School Camp (8th-12th)
Have you ever been charged with a crime other than a traffic-related offense? If not, please indicate. If yes, please elaborate.*
A background check will be conducted regardless of your answer to this question
Please provide the name of a organization where you have worked with minors within the last two years (school, church, etc.)*
Please provide the name and email of an individual from the place listed above; we may contact them regarding your service.*
Please provide the name and email of a second reference in case the first is not available. *
Please indicate here if you will need housing on campus while you serve, relevant dates, and if you will require more than 1 room (private housing is not guaranteed and is first come, first serve)
Area of Service (check all you are interested in):*

Kitchen (high priority; requires a training session to be scheduled before your week of service)Medical overnight (open to nurses, PAs, and EMS staff)Medical day (open to nurses, PAs, and EMS staff)CraftsTeachingElectivesGrounds/MaintenanceMusicGrounds/Maintenance
If you have children attending Coldstream as campers, please indicate how many:*
What weeks will they be attending?*

Day Camp I (PreK-3rd)Elementary Camp Overnight (3rd-5th)Day Camp II (3rd-5th)Middle School Camp (6th-8th)High School Camp (8th-12th)
Shirt Size*
Please check here if you are willing to donate $25 to cover the cost of your background check (optional)

Yes!
Please check here if you would be interested in volunteering with Coldstream outside of the summer season

Yes, please contact me!
Please review and sign our Code of Conduct for Volunteers.
I have read and agree to abide by the standards laid out in the code of conduct, and understand that deviating from these standards will result in dismissal from serving at Coldstream.*

Clear
Please review and sign our Community Standards Agreement.
I agree with the Community Standards Agreement outlined above and will abide by these standards in good faith.*

Clear
Any additional questions for the volunteer coordinator?
Should be Empty:

Coldstream Support Staff Form