Camp HLC — Specialist Application

Camp HLC — Specialist Application

Thank you for your interest in serving as a Camp HLC Activity Specialist with Hope Loves Company. Camp HLC is a free weekend retreat for children and families affected by ALS. Our Activity Specialists are licensed and credentialed professionals who lead pillar programming sessions for campers across a wide range of ages.Please complete this application in full. A member of our team will be in touch within five to seven business days.If you have questions before then, contact Linda Sermons at linda.sermons@hopelovescompany.org.
CAMP AND ROLE SELECTION
Which camp are you applying for?*
Which role are you applying for?*
Northeast
Which role are you applying for?*
Southeast
Which role are you applying for?*
South Central
Which role are you applying for?*
Midwest
Which role are you applying for?*
West
Hangout Group Share Facilitator
You'll lead small, age-grouped conversations for campers and families navigating an ALS journey — Adventurers (6–10), Hikers (11–13), and Guides (14–17). Sessions are guided by a reflection framework rooted in our annual camp theme. We're looking for licensed therapists, social workers, or grief counselors with experience supporting children or families affected by serious illness or loss.
Thoughtful Art Facilitator
You'll guide campers through intentional, theme-based art experiences designed to help them express what's hard to put into words — and lead the reflective conversation that connects what they made to what they're carrying. This role requires both clinical awareness and creative facilitation skill. We're looking for registered art therapists, grief counselors, or mental health professionals with a background in expressive arts and experience working with children or families.
Mindfulness Facilitator
You'll lead age-appropriate sessions — yoga, breathwork, grounding activities, guided meditation — that give campers practical tools for managing big feelings they can take home with them. This is skill-sharing in a community setting, not clinical intervention. We're looking for certified yoga instructors, meditation teachers, or wellness practitioners with experience working with children, teens, or families.
Music and Motion Facilitator
You'll lead sessions where campers translate their inner world into sound and movement — rhythm, instruments, song, dance, and collaborative music-making. The format is yours to design; Camp HLC provides the framework and theme. We're looking for music directors, therapeutic music practitioners, or music educators with experience working with children, teens, or families in community or emotional support settings.
The Skill Studio Facilitator
You'll lead activity-based sessions — games, creative play, movement, storytelling — where emotional skill-building happens through the doing. Beyond your sessions, you serve as a 1:1 support resource available to campers throughout the weekend. We're looking for Certified Child Life Specialists or mental health professionals with experience in play-based or activity-based support for children and teens.

YOUR INFORMATION
First Name *
Last Name*
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Mobile Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
My gender is*
We use this information to help us assign camp bunks/lodging as well as group assignments for youth leaders. If you have questions, please let us know.
Pronouns*
EMERGENCY CONTACT
Emergency Contact Name*
Emergency Contact Relationship*
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.

EDUCATIONAL AND OCCUPATION BACKGROUND
College / School
Department / Field
Company / Organization
Department / Position
PROFESSIONAL CREDENTIALS AND EXPERIENCE
What is your professional license or certification?*
Issuing body or certifying organization
How many years have you worked with children, teens, or families?*
Describe your experience working with children or families in emotionally sensitive settings.*
ALS JOURNEY
Yes — personal connectionYes — professional connectionBothNo
If yes, please share briefly.
Tell us anything else we should know about your background or approach.
If referred by an ALS organization, which one?

LODGING AND DIETARY INFORMATION
T-Shirt Size*
YesNo
Dietary Restrictions or Allergies*
Current Medications*

BACKGROUND CHECK ACKNOWLEDGMENT
I understand I must complete a background check before attending camp.I understand there may be a waiting period between my application and next steps.
Receive email communications about camp and my confirmed role.Receive text/SMS updates about camp from the Camp HLC coordinator.
AGREEMENTS AND ACKNOWLEDGMENTS
Privacy, Safety & Social Responsibility Agreement

To ensure every camper and family enjoys a safe and supportive environment, I understand and agree that:

Privacy & Confidentiality:
-I will respect the privacy of all campers, families, and staff. Personal or sensitive information shared during camp is confidential and not to be shared outside the program.

Child Safety:
-Hope Loves Company maintains a zero-tolerance policy for abuse, neglect, or inappropriate behavior. Campers are always supervised, and concerns will be reported immediately to camp leadership.

Social Media & Representation:
-I will not post or share any photos, videos, or details about other campers or families online without permission. I understand that social media content connected to Hope Loves Company should reflect kindness, respect, and the values of our community.
By typing my name below, I confirm that I have read and agree to the Hope Loves Company Privacy, Safety and Social Responsibility Agreement.*
Full Name
Behavior Standards Agreement

Camp HLC is a family-centered weekend designed to create connection, compassion, and community. To ensure a safe, welcoming, and fun experience for everyone, I understand and agree that:

Respect & Kindness:
-I will treat all campers, families, volunteers, and staff with respect and kindness. My words and actions will support a positive, inclusive atmosphere for everyone.

Safety & Conduct:
-I will follow all camp rules, including those of the host campsite. I understand that smoking, alcohol, drugs, and weapons are not permitted. I agree to help keep camp a safe space, both emotionally and physically.

Behavior & Participation:
-I will behave in ways that reflect the values of Hope Loves Company. If my behavior or my child’s behavior disrupts the safety or spirit of camp, we may be asked to leave.

Dress & Representation:
-I will wear clothing that is comfortable, modest, and appropriate for a family camp setting. I understand that I represent the HLC community through my attitude and participation.
By typing my name below, I confirm that I have read and agree to the Hope Loves Company Behavior Standards Agreement.*
Full Name
Waiver, Release & Media Agreement

Camp HLC is a place for connection, hope, and fun. To keep everyone safe and to share our story responsibly, I understand and agree that:

Participation & Liability
-I am physically and emotionally able to take part in camp activities.
-I release and hold harmless Hope Loves Company®, Inc., its staff, volunteers, and partners from any injury, loss, or damage that may occur while participating in Camp HLC activities or while traveling to and from camp.
-I accept full responsibility for my own safety and that of my child during participation.

Medical Care
-In case of illness or injury, I authorize Hope Loves Company staff or emergency personnel to provide or arrange medical care as needed.
-I agree to cover any costs related to such care, including transport or emergency services.

Photo & Video Use
-I give Hope Loves Company permission to photograph or record me (and/or my child) during camp and to use those images, videos, or recordings for the purpose of promoting the mission of Hope Loves Company.
-I understand that I will not receive payment for participation in any photos or videos, and I waive the right to review or approve materials before they are used.
-Hope Loves Company respects all families and uses photos and videos only to share positive, respectful stories about our community.
By typing my name below, I confirm that I have read and agree to the Hope Loves Company Waiver, Release and Media Agreement.*
Full Name
Confidentiality Policy

Confidentiality Policy Staff - Paid & Volunteer

Respecting the privacy of our clients, former clients, staff, donors, members, volunteers and of Hope Loves Company, Inc. itself is a basic value of Hope Loves Company, Inc. Personal and financial information is confidential and should not be disclosed or discussed with anyone without permission or authorization from Hope Loves Company, Inc. Care shall also be taken to ensure that unauthorized individuals do not overhear any discussion of confidential information and that documents containing confidential information are not left in the open or inadvertently shared.

Employees and volunteers of Hope Loves Company, Inc. may be exposed to information which is confidential and/or privileged and proprietary in nature. It is the policy of Hope Loves Company, Inc. that such information must be kept confidential both during and after employment or volunteer service. Staff and volunteers are expected to return materials containing privileged or confidential information at the time of separation from employment or expiration of service.

All information concerning our clients, former clients, staff, donors, members, volunteers, financial data, and business records of Hope Loves Company, Inc. is confidential. “Confidential” means that you are free to talk about Hope Loves Company, Inc. and about the programs and your position, but you are not permitted to disclose client names or talk about them in ways that will make their identity known. No information may be released without appropriate authorization. This is a basic component of client care and business ethics. The Board of Directors of Hope Loves Company, Inc., staff and our clients rely on paid and volunteer staff to conform to this rule of confidentiality.
I agree to the confidentiality policy.
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MonthDayYear
Date
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Camp HLC — Specialist Application

CAMP AND ROLE SELECTION

YOUR INFORMATION

EMERGENCY CONTACT

EDUCATIONAL AND OCCUPATION BACKGROUND

PROFESSIONAL CREDENTIALS AND EXPERIENCE

ALS JOURNEY

LODGING AND DIETARY INFORMATION

BACKGROUND CHECK ACKNOWLEDGMENT

AGREEMENTS AND ACKNOWLEDGMENTS