Camp Dragonfly Volunteer Application 2019
Camp Dragonfly would not be possible without the support of so many incredible volunteers & workshop leaders. Camp Dragonfly is seeking volunteers for the following roles: Camp Counsellor, Knowledge Keeper, Photographer, Social Workers or Psychologist, Nurse or EMT, and Kitchen Team. Volunteers must be over the age of 18 as of August 22, 2019 (with the exception of Kitchen Team, children are welcome with an adult). Volunteers need to be available from August 22, 2019 - August 25, 2019.
First & Last Name
Age (as of August 22, 2019)
Pronouns (eg. ze, they, she, he, per)
If you wish, share something about your identity. This can be helpful when creating camper-groups so that our campers have role models. Consider gender, sexual orientation and other intersections such as QPOC/Two-spirit, person with a disability, neurodiverse, refugee, etc.
Emergency Contact Name
Emergency Contact Phone Number
Allergies and/or dietary needs
Camp has permission to
Share photos within a closed group for campers at the end of camp
Share photos of me on social media and in camp promotion
Share video footage of me on social media and in camp promotion
Share video footage within a closed group at the end of camp
None of the Above
I am applying as:
Camp Counselor - responsible for small camper groups and gets involved in all camp-wide activities, leading some of them
Cultural Worker/ Knowledge Keeper - a First Nations, Métis, Inuit and/or Two-Spirit person who will support our Two-Spirit youth, talk to any youth as needed and lead an activity at camp and an info-session at training
Photographer – photograph the training and camp and create a slide show for the Community Supper, post photos online after camp
Social worker/therapist/psychologist – speak to youth one-on-one as needed, co-lead the Caregiver Workshop
Nurse/ EMT/ PCP/ lifeguard/ doctor - gather meds from parents and instructions at drop-off, administer any meds as needed, be on-call at camp for medical needs/ first aid
Kitchen Team Volunteer - come in for specific meal shifts to help with cooking, serving, cleaning, set up and take down
C.I.T. (Counselor-in-Training) - 15-17 year olds who shadow counselors.
If you selected more than one role above, please list your order of preference:
If you have selected Kitchen Team, please indicate which shifts you are able attend
Friday August 23 - 3:45pm - 6:45pm
Saturday August 24 - 7:15am - 9:15am
Saturday August 24 - 11:15am - 1:45pm
Sunday August 25 - 11:15am - 1:45pm
Sunday August 25 - 3:45pm - 7:15pm
In a paragraph or bullet points: what experience do you have that will make you a great fit for your #1 choice role and for working with gender diverse kids?
Would you prefer to have a small group of ages 6-9 or 10-13? Elaborate if you wish.
I have skills so wonderful in these areas that I would be willing to lead a camp-wide activity in it!
Trans workshop for children at camp
Trans 101 workshop at training for volunteers
Intersectionality workshop at training for volunteers
I understand that training is mandatory and can commit to attending the required trainings. I am available to attend all of Camp Dragonfly or my assigned Kitchen Shifts.
I have provided accurate relevant information to be used in case of emergency. I understand that there are risks with any event and I will exercise caution and responsible judgment and concern for my own safety, the safety of others, the respect of nature and all property. I understand that Southminster-Steinhauer United Church will do its best to follow the guidelines set out in its POLICY AND CODE OF CONDUCT FOR THE PROTECTION OF VULNERABLE INDIVIDUALS which is intended for the health, safety and protection of the children, youth, other vulnerable people and the volunteers who work with them. More information can be found here (
). I release Southminster-Steinhauer United Church and the United Church of Canada, its staff and volunteers from liability in the event of accident or injury. I have read this consent/release form and understand all that is stated above.
Yes, I agree.
I give permission to Camp Dragonfly to photograph and/or record me or my voice on still photographs, motion picture film, audio tape and/or video tape and to use this material, in whole or in part, through the media of television, film, Internet, multi-media presentation, radio, audiotape, videotape or in printed form or display form for the promotion of Camp Dragonfly. I assign and transfer to Camp Dragonfly/SSUC any and all rights, including copyright, which I may have in this material.
Yes, I agree
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