Camp Hope Volunteer Sign up Form

Camp Hope Volunteer Sign up Form

Volunteers are the heart of the Camp Hope and children and teens. Center forHope and Healing Volunteers working directly with grievers are required tocomplete the centers Volunteer Facilitator Training. If you are interested involunteering in another capacity please let us know. Camp Volunteers gothrough a short volunteer training but are encouraged to complete the Centerfor Hope and Healing Facilitator Training.
Full Name

First NameLast Name
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Are you over 18?
Where did you hear about us?
Photo of the Front and Back of Drivers License.

Cancelof
Employment/Education History
Current Occupation/Title:
Current Employer
Are you Currently enrolled in school?
If still in school, Name of School
Field of Study
Highest level of schooling
Please list any Professional Licenses and/or Certifications
Emergency Information
Person to notify in case of emergency

First NameLast Name
Relationship
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Additional Information
Describe your experience working with children/teens (volunteer, professional, personal).
Please list specific skills, interests and personal background you believe will be helpful in this volunteer position.
Hobbies:
Languages you speak in addition to English:
If you have ever participated in a support group, please describe:
If you have ever facilitated a support group, please describe:
If you have ever been convicted of a misdemeanor or a felony please indicated date(s) and describe the charges.
*Conviction of a crime, or pleading guilty to a criminal charge, will no necessarily disqualify you from a volunteer position with the Douglas Center for Hope and Healing. Conviction will be considered with respect to time, relatedness to your work as a volunteer and other relevant factors.
Bereavement History: Please indicate significant losses that you have experienced (include your relationship, year of death, your age at loss, and cause of death)
Being a Volunteer Facilitator: (Feel free to write on back page if more space is required). Please tell why you are interested in working with grieving children.
What do you hope to gain personally as a result of attending this training?
Any special message you need us to know
Facilitator Training Acknowledgment

By signing below, I acknowledge that:
- Completion of Camp Hope and/or Volunteer Facilitator Training is required before serving as a facilitator with the Center for Hope and Healing.
- Participation in training does not guarantee acceptance as a facilitator. The Center for Hope and Healing reserves the right to accept or decline any applicant at its sole discretion.
- This training is intended for individuals interested in volunteering as peer support facilitators for Center for Hope and Healing's Camp Hope.
- If accepted as a facilitator, I may be required to complete a Nevada criminal background check and pay any associated state fees.
- I certify that all information provided in this application is true, accurate, and complete to the best of my knowledge, and I authorize verification of the information provided.
Signature
Date

MonthDayYear
Date
Should be Empty:

Camp Hope Volunteer Sign up Form

Employment/Education History

Emergency Information

Additional Information