Civitan's Camp Big Heart 2026 Activity Leader Application

Civitan's Camp Big Heart 2026 Activity Leader Application

Apply here for activity leader positions
If you have any questions please contact:
- Ethan at ethan.erlandson@campbigheart.org or 941-962-8105
- Lucas at lucas.brooks@campbigheart.org or 229-630-6601
Identifying and Contact Information
Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail is one of the main ways we will contact you. Please list an e-mail account that you will check regularly between now and camp.
E-mail*
example@example.com
Phone Number*
Alternate Phone Number
Your picture file must be named Firstname_Lastname
Recent Photo*

Cancelof
T-Shirt Size (shirts are in mens sizes)*

SmallMediumLargeX-LargeXX-LargeXXX-Large
Activity Leader Position
Activity Leader (must be 18 years or older to apply)

Must be present for Orientation Day (the Saturday before the start of camp week)

Priority will be given to those who can attend both sessions.

**New position this year, Social Media Lead. You will not lead a direct activity. You will be in charge of getting content, posting on Facebook and Instagram daily, and orgnaizing the content into our CBH Google Drive.**

Duties:
- Plan one or more activities for campers to engage with during a 75-minute session before the start of camp (yearly rotating activities include art, STEM, cooking, and more!)
- Prepare for and set up the activities during the week
- Lead and engage in the activities with a small group of campers twice per day
- Delegate tasks to Unit Leaders during the activity to ensure all campers are supported and engaged
- Lead clean-up at the end of each session and support your assigned Unit Leaders with transitioning campers
- Help set up and run daily camp-wide activities (pool time, boating, archery, and water park, evening entertainment) by supporting campers during the activity and engaging in the activity
- Help set up and run nightly events (Color Wars, the Carnival, the Talent Show, and the Dance) by supporting campers during the event and engaging in the activity
- Support your designated Unit Leaders by helping prepare campers for the day, for bedtime, and transition to and from rest time
- Help with Sunday arrival day(s) by directing traffic, checking in campers, or cabin set-up
- Serve breakfast, lunch, and dinner to campers and staff daily
- Oversee and support with cabin clean up at the end of the week(s)
Describe the activity you would like to lead. Please provide the name of the activity and what you would like to plan for your activity. Examples of activities include: art, stem, cooking, sports, music
Desired Session(s) Choose all that apply ***Priority will be given to those who can work both sessions. ****

SESSION 1: June 6-12 (School Aged Camper Week)SESSION 2: June 13-19 (Adult Week Ages 18+)By checking this box, you agree to arrive on Saturday prior to camp for orientation training (June 6th/June 13). If unable to attend, you will not be considered for a position.
Have you worked at Camp Big Heart before?*

YesNo
How many years and in what positions?
Who were your previous unit leaders & volunteers?
Emergency Contact
Full Name*

First NameLast Name
Phone Number*
Relationship*
Education and Work Experience
What is your current occupation or year in school?*
Which of these best describes your education history as of June 1, 2026?*

Current High School StudentHigh School GraduateCurrent College StudentCollege GraduateOther
NEW MEMBERS: If this is your first time at camp, fill out the following sections.
Describe any WORK experience you have had including employer, position, and dates of employment.
Describe any CAMP experience you have had including employer, position, and dates of employment.
Describe any experience you have working or interacting with members of the special needs community.
FOR SOCIAL MEDIA LEAD POSITION ONLY! Link your social media profiles below.
FOR SOCIAL MEDIA LEAD POSITION ONLY! List ideas you have for our current social media accounts:
FOR SOCIAL MEDIA LEAD POSITION ONLY! Are you willing to work outside of the CBH scheduled camp dates? Duties outside of camp dates would include helping make post on social media accounts and working with social media committee to prep for camp.
Provide 3 non-family member references below for us to contact. This can be a teacher, coach, mentor, or previous employer.
Reference 1
Full Name*

First NameLast Name
Relationship*
Time Known*
E-mail*
example@example.com
Phone Number
Reference 2
Full Name*

First NameLast Name
Relationship*
Time Known*
E-mail*
example@example.com
Phone Number
Reference 3
Full Name*

First NameLast Name
Relationship*
Time Known*
E-mail*
example@example.com
Phone Number
Certifications and Skills
Are you certified in first aid or CPR? List any certifications you will have during camp. Include cert name, issuing agency, and the exp. date.
Regardless of formal training, many members of our staff bring considerable experience and expertise. Please describe the relevant skills that you will bring to camp in as much detail as you'd like to share. *
How did you hear about Camp Big Heart?*
Medical Information
Please list any allergies you have.
Are you a vegetarian who requires vegetarian meals?*

YesNo
Describe any other dietary restrictions you have.
Medical History (check all that apply)

Seizure DisorderActive SeizuresDiabetesHeart ProblemsOther
I affirm that I am up to date on all immunizations.*
Please list any other health conditions that may limit your ability to perform your duties at Camp Big Heart.
Medical Insurance

MANDATORY- You must upload a copy of your insurance card (front and back) to complete your application. If you currently do not have health insurance, please write N/A in the boxes below.
Insurance Company*
Contact Number*
The picture files you upload for your insurance must be named Firstname_Lastname_Front and Firstname_Lastname_Back. This naming convention must be followed to ensure your application is processed.
Insurance Card (Front)*

Cancelof
Insurance Card (Back)*

Cancelof
Essay
Explain why you want to work at Camp Big Heart, why you want your desired position, and why you'll be effective in that role. Also, this is your opportunity to tell us anything that you feel we should know in evaluating your application.*
Non-Disclosure Agreement
Have you ever been arrested and/or charged with a crime? (This includes all arrest and charges whether or not they were dismissed, deemed nolle prosequi, deferred adjudication, or found not guilty.) *
If yes, please explain:
Have you ever been convicted of any crime relating in any manner to children and/or your conduct with them? *
If yes, please explain:
Have you ever been convicted of any crime including, but not limited to, those listed below and/or any crime similar in any manner to those listed below? • Indecent assault and battery on a child under fourteen • Indecent assault and battery on a mentally retarded person • Indecent assault and battery on a person who has obtained the age of fourteen • Rape • Rape of a child under sixteen with force • Assault with intent to commit rape • Kidnapping of a child under sixteen with intent to commit rape • Distribution and trafficking of narcotics or other controlled substances • Intent to commit any of the above crimes. *
If yes, please explain:
Photo Release

I agree to allow photography of the applicant to be used by the Camp Big Heart and/or Camp John Hope for any publicity and/or promotional and/or educational purposes including leaflets, flyers, brochures, television, newspapers, magazines, advertisements, audio-visuals, videos, etc. This furthers the aims of Civitan’s Camp Big Heart to provide a summer recreational camp for our campers who are mentally challenged at a low cost to the participants, the majority of costs of said camp being underwritten by the Camp Big Heart Civitan Club.
I have read and agree to the Photo Release terms*

Check to confirm
Alcohol/drug use I understand that alcohol and/or illegal drugs of any kind are NOT permitted on campus at any time. If it is discovered that I am using alcohol and/or illegal drugs of any kind on campus, I understand that those actions are grounds for immediate dismissal from Camp Big Heart and a possible one year suspension from working at Camp Big Heart the following year. I also understand that it is my sole responsibility to make sure that any prescription medications that I bring on campus are safely and discreetly placed in my luggage at all times. CAMP BIG HEART IS NOT RESPONSIBLE FOR ANY STAFF AND/OR VOLUNTEER MEDICATIONS. Vaping/SmokingI understand that the use of cigarettes e-cigarettes, vapes, and other related products are to be used outside and out of the sight of campers. Cigarettes and other tobacco based products, must be used in designated areas at the campsite. Any smoke or vape related products are not to be on my person while I am with campers and are to be charged with portable charges hidden away or in buildings where there are currently no campers. A camper should never see a vaping/smoking device or product, should never see the smoke or vape from its use, or smell the use of the product. I have read and agree to the above terms*

Check to confirm
I have read and agree to the above terms *

Check to confirm
Transportation I understand that the applicant’s transportation to and from Camp Big Heart is my responsibility. The applicant and/or legal guardian will be responsible for transportation, as well as room and board arrangements for the Friday evenings after each session, as no one will be allowed to remain on campus. CAMP BIG HEART IS RELEASED FROM RESPONSIBILITY FOR ALL STAFF AND VOLUNTEERS DURING THE ABOVE MENTIONED TIME PERIOD.Preplanning SessionsI understand that all staff and volunteers are required to attend the staff orientation for each session they will be working. These will take place on Saturday afternoon on the first day of each session. We will specify what time you should be there well in advance of camp by e-mail. Sleeping Accommodations I understand that all staff and volunteers will be required to sleep on the top bunks of bunk beds. This leaves the bottom bunks for campers to use. I accept that accommodations will not be made for any bed preferences.
I attest that all of the given information is true to the best of my knowledge. I consent for Camp Big Heart to perform a complete background check. I also agree to abide by the rules and regulations set forth in the Camp Big Heart Manual and by the Camp John Hope Administrators.
Signature of Applicant*

First NameLast Name
Date*

MonthDayYear
Signature of legal guardian, if applicant is a minor

First NameLast Name
Date

MonthDayYear
Should be Empty:

Civitan's Camp Big Heart 2026 Activity Leader Application

Identifying and Contact Information

Activity Leader Position

Emergency Contact

Education and Work Experience

NEW MEMBERS: If this is your first time at camp, fill out the following sections.

Reference 1

Reference 2

Reference 3

Certifications and Skills

Medical Information

Essay

Non-Disclosure Agreement