Camp HOPE Camper Nomination Form 2018
We’re excited that you’ve chosen to nominate a child to attend Family Support Center’s Camp HOPE 2018! Camp HOPE America- Washington is first camping and mentoring initiative in the state to focus on children exposed to domestic violence. Please answer the questions below so that we can know about a bit more about the child you are nominating. Due to limited space, please note that we are not able to guarantee attendance for any child. Campers should be ages 7-17. We will be conducting screening interviews in February through May with children and their parent/guardian before officially offering spots for camp. Thank you for your understanding!
Your contact information
What is your phone number?
What is your email address?
What organization do you work for?
Community Youth Services
Family Support Center
Thurston County Prosecutor's Office
Lacey Police Department
Olympia Police Department
Tenino Police Department
Thurston County Sheriff's Office
Tumwater Police Department
Yelm Police Department
North Thurston School District
Olympia School DIstrict
Rainier School District
Rochester School District
Tenino School District
Tumwater School District
Yelm School District
How did you hear about Camp HOPE?
Information about the child you are nominating
Age (We accept campers ages 7-17)
What are the names of parent/guardians of this child?
Please provide a phone and email address for the parent/guardian that the child resides with. We ask that the parent/guardian be notified by you prior to submitting this application, to ensure their interest in Camp HOPE.
Has this child been impacted by domestic violence?
If yes, has physical/ emotional safety been an issue for this child?
Yes, within the past 6-12 months.
No, not in the past 12 months
No, not an issue
Is this child currently in a stable home environment?
Has this child had the opportunity to process their story with a mental health professional?
Does the child have any known aggressive behaviors towards other children?
Do you know of any special accommodations this camper may need if attending camp?
Is there anything that would be helpful for us to know in advance?
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