Silent Hope's Camp We Sign 2019
July 8 - July 12, 2019
7:00am-6:30pm
Campus of Faith Assembly
9307 Curry Ford Rd. Orlando, FL 32825

VOLUNTEER / STAFF APPLICATION

Additional requested documents can be sent to info.silenthope@gmail.com
For any additional questions you may call or text 407-758-4904

Once application has been received and processed we will send you an email with additional information regarding next steps.

Full name *
Your answer
Phone / Day *
Indicate if Voice / VP / text
Your answer
Address *
Your answer
Phone / evening *
Indicate if Voice / VP / text
Your answer
Email Address *
Your answer
Date of birth *
Your answer
Adult T-shirt size *
Volunteer positions *
What area(s) would you be interested in serving (check ALL that apply)
Required
Educational History *
High School / College / Other certificates - Dates / Degrees
Your answer
Employment History *
Position / employer / Phone / Dates / Reason for leaving
Your answer
Camp / Recreation History
Camp Name / City / Position / Dates
Your answer
References *
List 3 people who may vouch for your character and abilities
Your answer
Do you have a valid driver's license? *
If yes, submit a copy with application
Do you have a license to drive a bus? *
If yes, submit copy with application
Do you have First Aid certification? *
If yes, submit copy with application
Do you have Cardiopulmonary resuscitation certification (CPR)? *
If yes, submit copy with application
Do you have sign language experience or certification? *
Your answer
Other
Note any additional certifications/licenses or skills that may benefit the program.
Your answer
Sign Language Communication Skills *
What is your fluency level in Sign Language?
Are you fluent in any other communication modes? *
Your answer
Authorization for emergency medical care *
In the event that the emergency contacts cannot be reached in an emergency, I hereby give permission for the camp medical director to secure and administer necessary treatment, including hospitalization, for me. The medical director may release any records necessary for insurance purposes.
Your answer
Emergency Contact 1 *
List contact in order of priority - Name / phone # / relation to applicant
Your answer
Emergency Contact 2 *
List contact in order of priority - Name / phone # / relation to applicant
Your answer
Emergency Contact 3 *
List contact in order of priority - Name / phone # / relation to applicant
Your answer
Insurance Information *
Are you covered by a medical/hospital insurance?
Insurance Information *
Carrier or Plan name / group # / member # / Name of insured / D.O.B of insured / relationship to applicant. Proof of insurance is REQUIRED. Submit a copy with application
Your answer
Prescription Medication - For the safety and protection of all campers and staff, the medical director is required to hold all prescription medications in locked storage during the camp program. *
Do you have any prescribed medication you will need to take during camp?
Prescription Medication *
List prescribed and over the counter medication needed during camp
Your answer
Skills & Interests *
Mention below areas of interest you would like to lead or assist in: Outdoor activities / water activities / arts & crafts / sports / other
Your answer
Provide a short explanation describing your interest in volunteering at the Camp *
Your answer
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