2017 Volunteer Application Camp Erin Boston
Hello and thank you for your interest in volunteering with Camp Erin Boston!

There will be two sessions of Camp Erin Boston in 2017!

We are excited to offer Camp Erin Blue Heron Friday, June 9th-Sunday, June 11th, 2017 and
Camp Erin Shining Star Friday, August 18th-, Sunday, August 20th, 2017 both at Camp Bauercrest in Amesbury, MA.

You can use this application to apply to volunteer at one of these camp sessions or for both of the camp sessions. If you are applying for both sessions please answer all parts of questions 15 and 16.


Descriptions of Volunteer Roles:

*The number of volunteers needed for each role (listed on the right of each role) is for one session of camp.

Big Buddies (60 positions): Work one-on-one with an assigned camper. Onsite for Ice Cream Social (TBA), entire Camp Weekend (Camp Bauercrest in Amesbury, MA) and Camp Reunion at Drumlin Farm, Lincoln, MA (Sunday, September).

Cabin Buddies (10 positions): are assigned a specific cabin. Introduces and assists with cabin activities, relieves Big Buddies and Cabin Buddies at their break times, conducts bedtime activities (reads stories, directs calming activities), available as general support during Camp Weekend. Onsite for Ice Cream Social (TBA), entire Camp Weekend (Camp Bauercrest in Amesbury, MA) and Camp Reunion at Drumlin Farm, Lincoln, MA (Sunday, September).

Grief Counselors (10 positions): are typically Licensed Counselors, Social Workers, RNs, Psychologists, etc. – they facilitate activities and provide bereavement support to all the campers and volunteers. Onsite for Ice Cream Social (TBA), entire Camp Weekend (Camp Bauercrest in Amesbury, MA) and Camp Reunion at Drumlin Farm, Lincoln, MA (Sunday, September).


Photographers (2 positions) – one male and one female. They are required at ALL events, and edit photographs, upload photographs, and create slideshows. Onsite for Ice Cream Social (TBA), entire Camp Weekend (Camp Bauercrest in Amesbury, MA) and Camp Reunion at Drumlin Farm, Lincoln, MA (Sunday, September).

On-Site Support Volunteers (10 positions): provide onsite support to Camp Erin. May lead activities, assist with coverage for Buddies' breaks, run errands or provide help and support to Camp Staff. Certified lifeguards needed!

Off-Site Support Volunteers - Assist at different times of the year with donations, office work, securing supplies,mailings, etc.

Support Volunteers may also assist at different Camp Erin events such as Ice Cream Social, Reunion, Trainings, securing in-kind donations, etc.

Email address
1. First Name
PREFERRED NAME- Will be on I.D. Badge
Your answer
2. Last Name
Your answer
3. I Identify my sex as
4. Date of Birth MM/DD/YYYY
MM
/
DD
/
YYYY
5. Email Address
Your answer
6. Confirm Email Address for Accuracy
Your answer
7. Preferred Phone Number
Your answer
8. Alternate Phone Number
Your answer
9a. Mailing Address (Number & Street)
Your answer
9b. Mailing Address (Apt # or P.O. Box #)
Your answer
9c. Mailing Address (City)
Your answer
9d. Mailing Address (State)
Your answer
9e. Mailing Address (Zip Code)
Your answer
10. Occupation and Employer
(If student, please enter "student" and specify which school you attend)
Your answer
11. Are you a New or Returning Volunteer?
If returning, please select how many years you have volunteered with Camp Erin Boston.
12. How did you hear about Camp Erin Boston?
If you heard about Camp Erin from a person please write that person's name below. If not, please write N/A.
Your answer
13. What is your T-Shirt size?
14. What camp session(s) are you applying for?
15a. If you are applying for Camp Erin Blue Heron June 9th-June 11th, 2017 what volunteer position are you interested in?
If you are ONLY applying for Camp Erin Shining Star August 18th-August 20th, 2017 please move on to question 16a.
15b.What age group do you want to work with for this session?
16a. If you are applying for Camp Erin Shining Star August 18th-August 20th, 2017 what position are you interested in?
16b. Which age group do you want to work with for this session?
17. Emergency Contact Information
Please include name, relationship and phone number.
Your answer
18. Health Insurance Information
Please list health insurance company and ID number.
Your answer
19. Name of Primary Care Physician
Your answer
20. Phone Number of Primary Care Physician
Your answer
21. Are you affiliated with the military (active duty or veteran)?
Please select the branch you are affiliated with, or select "no."
22. Please indicate your racial/ethnic background.
Check all that apply.
23a. Have you experienced the loss of someone important in your life?
23b. Person's Name
Your answer
23c.The deceased is your...
23d. Date of Death
MM
/
DD
/
YYYY
23e. Cause of Death
24. Do you have any allergies (food, medicinal, environmental) or dietary restrictions?
Please list below. If none, please write "none".
Your answer
25. Please list any medical concerns, mental health concerns, physical limitations or any needs/concerns that would be important for us to know.
If none, please write "none".
Your answer
26. Skills and Talents:
Please list any skills, talents, interests, relevant work or volunteer experience.
Your answer
27a. For NEW volunteers only, please list names and contact information for 2 references.
Reference 1 Name
Your answer
27b. Reference 1 Title/Position/Company
Your answer
27c. Reference 1 Email Address
Your answer
27d. Reference 1 Phone Number
Your answer
27e. Reference 2 Name
Your answer
27f. Reference 2 Title/Position/Company
Your answer
27g. Reference 2 Email Address
Your answer
27h. Reference 2 Phone Number
Your answer
28. Are you a Certified Lifeguard or Water Safety Instructor?
If you have a related certification please choose other and type the name of your certification.
29. CareGroup Parmenter Home Care and Hospice Statement of Confidentiality: Please initial and date as a digital signature.
I understand that in the course of my volunteer work with CareGroup Parmenter Home Care and Hospice/Camp Erin Boston, I may learn certain facts about individuals and families that are of a highly personal and confidential nature. Examples of such information would include medical diagnoses and prognoses, treatment, finances, living arrangements, employment, sexual orientation, relations with family members and the like. I understand that all such information must be treated as absolutely confidential. I agree not to disclose any information about a patient or camper to any person not affiliated with Camp Erin Boston and authorized by them to have such information. I also agree to channel any media inquiries to the Camp Director. I certify that all information supplied on this application is true and complete to the best of my knowledge. PLEASE TYPE YOUR NAME BELOW TO CONFIRM THAT YOU HAVE READ AND WILL ABIDE BY THIS STATEMENT OF CONFIDENTIALITY.
Your answer
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