Volunteer Application

Volunteer Application

Complete your basic details, preferred opportunities and roles, and complete the required screening acknowledgment.
Basic Information
Full Legal Name

First NameMiddle NameLast Name
Preferred Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
City / State / ZIP
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Emergency Contact Name

First NameMiddle NameLast Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Relationship
Camping Role
Role Interests
Willing to remain onsite overnight?
Comfortable supervising youth in an outdoor/camping environment?
Current CPR/First Aid certification?
Previous camping or outdoor experience
Safety Screening
Have you ever been convicted of, pleaded guilty or no contest to, or do you currently have pending charges for an offense that may affect your ability to safely work with children or vulnerable individuals?
Are you currently required to register on any state or national sex offender registry?
Have you ever been prohibited, suspended, terminated, or asked to resign from employment or volunteer service because of allegations involving the safety, abuse, neglect, exploitation, harassment, or inappropriate treatment of a child or vulnerable individual?
Is there anything else SafeGround should know when determining whether you can safely perform the volunteer responsibilities for which you are applying?
Overnight Chaperone Addendum
Acknowledgement of enhanced overnight screening
Sleeping arrangements
Shared sleeping space
Youth sleeping area access
Supervision procedures
Reporting safety concerns
Authorization understanding
Should be Empty:

Volunteer Application

Basic Information

Camping Role

Safety Screening

Overnight Chaperone Addendum