Camp High Hopes Staff Application
Thank you for your interest in joining Camp High Hopes. Our staff plays a vital role in creating a safe, supportive, and welcoming environment for campers living with bleeding disorders.
Please complete the application below. We will contact you if additional information is needed.

For questions please feel free to contact us!

Camp Director - Darian Ross
dross@camphighhopes.org

Health Director - Hope Woodcock-Ross
hope-mw@hotmail.com
Sign in to Google to save your progress. Learn more
Email *
July 25, 2026 - August 1st, 2026
Full Legal Name *
Home Address *
Social Security Number *
Date of Birth *
Home/Cell Phone *
E-Mail *
Emergency Contacts (while you're at camp)
Name *
Phone *
Name
Phone
Certified Training
Put any active and relevant certifications you have received here such as CPR, Wilderness First Aid etc.
Assignment - 1st Choice
Assignment -  2nd Choice
*Every effort will be made to give you the assignment you prefer, HOWEVER you may be asked to take a different assignment*
Will you be at camp all week? *
If no, what days can you attend? 
Shirt Size *
If other, type the size here
Will you be unavoidably late to Orientation on Saturday? *
Will you be unavoidably late to Orientation on Saturday? *
Are there any special accommodations you will need? (diet, mobility)
Mandatory Criminal Record & Sex Offender Check
Have you ever been arrested for any crime?  
if YES explain details down below
if NO "type N/A"
 *
Have you ever been convicted for any crime?  
if YES CALL immediatley
if NO "type N/A"
 *
Have you ever been investigated for any sex offense or sex related crime?  
if YES CALL immediatley
if NO "type N/A"
 *
1. )  I understand the information on this application is required to verify my eligibility for camp.  
This information won’t be given to others except when required by law; in that event I will be notified.
 I certify this information is true, and I authorize Camp High Hopes to investigate me as necessary
 *
Required
2. I understand in asking to be part of camp I will be assigned specific responsibilities and given set rules to follow. I agree to fulfill my responsibilities as assigned, and adhere at all times to the rules set forth in the camp manual as well as the directives of the Camp Directors, the Infirmary Staff, and other supervisors.

 

 *
Required

3. I give permission for pictures/audios made of myself to publicize camp. No identifying information other than a first name will be used unless I sign a separate release form.

 *
Required
Electronic Signature (Type Full Legal Name) *
  By typing my name below, I certify that the information provided is accurate and complete.  
1. Read EVERYTHING before you sign.
2. Complete the entire medical form
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms