2025 Camp Staff Application - Johnstown PA
Please choose which camp week(s) you are available
June 16-20
July 21-25
DO NOT PRINT THIS APPLICATION...MUST BE FILLED OUT AND SUBMITTED ONLINE. ALL REQUIRED FIELDS MUST BE COMPLETED
Name of Person Volunteering at Run Home Camps
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First Name
Last Name
Sex
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Male
Female
Birth Date
*
-
Month
-
Day
Year
Date
Camp Date
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Month
-
Day
Year
Date
Age
T-shirt Size (Adult sizes - male/unisex t-shirt)
*
Small
Medium
Large
Extra Large
Double XL
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Occupation
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Title or job
*
Name of Employer
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Number of Years Employed
Best Phone Number
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Please enter a valid phone number.
Emergency Contact
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Name
*
Relationship
*
Phone Number
Do you have any Certifications?
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CPR
First Aid
Life Guard
Nurse
EMT
Other
None
Desired Camp Role
Click here for camp role descriptions
RHC Camp Job Descriptions
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Please choose at least one
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Mentor/Coach - Full-time (Preferred)
Mentor/Coach - Daytime Only (8AM - 4PM)
Relief Mentor/Coach - Evening Only (4PM - 9PM)
Relief Mentor/Coach - Overnight (9PM - 8AM)
Player Development
Character Development / Bullpen Coach
Baseball Instructor
Agent (Camper welcome/registration)
Activities Team
Materials Team
Commentator (camp story teller)
Trainer (RN required)
Photographer
Concessions (food crew)
Grounds crew (field maintenance)
Maintenance (camp maintenance)
Grandparents
Aunt/Uncle
Music Team
Drama Team
Setup/Tear down
Do you have any previous training or background dealing with abused, neglected or abandoned children? If "yes", in what way?
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Were you a victim of abuse, neglect or trauma as a minor? If "yes", please provide some details or discuss with the Camp Director privately
*
Please describe why you wish to work with children who have experienced trauma?
*
Medical History
Please list any medical conditions that may affect your ability to participate in camp. If none, type "N/A"
*
Personal References
No relatives please
First Reference
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Full Name
Phone Number
Second Reference
*
Full Name
Phone Number
Third Reference
*
Full Name
Phone Number
Personal Profile
Do you regularly attend a church?
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Yes
No
Name of church
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List any volunteer services that you provide at the church (if applicable)
Please share your own story of how you became a Christian?
*
Do you have any experience working with children? List any strengths
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Have you ever been arrested for a criminal offense?
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Yes
No
Have you ever been convicted of or plead guilty to a crime?
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Yes
No
Have you ever been arrested for sexual misconduct?
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Yes
No
Have you ever been convicted of or plead guilty to sexual misconduct?
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Yes
No
Have you ever taken drugs other than prescription drugs?
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Yes
No
Do you currently use tobacco?
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Yes
No
Do you currently drink alcohol?
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Yes
No
Do you currently use drugs?
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Yes
No
If you answered Yes to any of the above, please explain further
*
Heading
By entering my name below and submitting this application I attest that I am the named applicant and that this information contained in this application is correct to the best of my knowledge. I am aware that a criminal history check will be requested from the state of Pennsylvania as authorized by state law. I am also aware that by submitting this application I am not guaranteed a role at Run Home Camps.
Typed name of applicant
*
First Name
Last Name
Liability Release
Please read the Liability Release below. If you agree check the button and sign below
Run Home Camps Liability Release Form
Functions and Activities
It is my understanding that participating in the programs and recreational and other activities of Run Home Camps is a privilege. Prior to my participation in such activities, I acknowledge that there are certain risks associated with the activities, including, by way of example, physical injury due to activity-related accidents, physical injury due to transportation-related accidents, illness, or even death. In addition, I acknowledge that there may be other risks inherent in these activities of which I may not be presently aware.
Release of Liability
By signing this Form, I expressly warrant that I am capable of withstanding both the physical and mental demands of the activities discussed above. I also expressly assume all risks of participating in the activities, whether such risks are known or unknown to me at this time. I further release Run Home Camps and its leaders, employees, volunteers, and agents from any claim that I may have against them as a result of injury or illness incurred during the course of participation in the activities. This release of liability shall include (without limitation) any claims of negligence or breach of warranty. This release of liability is also intended to cover all claims that members of my family or estate, heirs, representatives, or assigns may have against Run Home Camps or its leaders, employees, volunteers, or agents. I further agree to indemnify and hold harmless Run Home Camps and its leaders, employees, volunteers, or agents from any and all claims arising from my participation in its activities and programs, or as a result of injury or illness during such activities.
First Aid and Emergency Medical Treatment
I recognize that there may be occasions where I may be in need of first aid or emergency medical treatment as a result of an accident, illness, or other health conditions or injury. I do hereby give permission for agents of Run Home Camps to seek and secure any needed medical attention or treatment for me including hospitalization, if in the agent’s opinion such need arises. In doing so I agree to pay all fees and costs arising from this action to obtain medical treatment. I give permission for attending physician(s) and other medical personnel to administer any needed medical treatment, including surgery and, again, I agree to pay for the medical treatment.
Confirmation of Liability Release
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Yes I have read the Liability Release Form and my signature below indicates my agreement.
Signature
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Submit
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