Camp Wamp Volunteer Application

Stephen J. Wampler Foundation is an Equal Opportunity Employer.

State and Federal laws prohibit discrimination in employment because of race, color, national origin, ancestry, sex, religion, age, mental or physical disability, veteran status, medical condition, marital status, sexual orientation, pregnancy, or any other characteristic protected by federal, state, or local law.

*NOTE*

Please Answer all questions completely and accurately. False or misleading statements provided on this application and/or during the interview are ground for terminating the application process, or, if discovered after employment, terminating the employment relationship.

Contact Information

First Name

Last Name

Mailing Address

Street Address

State

City

Zip

Phone

Position and Background Information

How did you hear about Camp Wamp?

Campus AdvertisementNewspaperJob FairUniversity ProfessorFormer Camp StaffCurrent Camp StaffNews OutletFacebookInstagramTwitterEmailHandshakeFriendOther

Will you be receiving volunteer hours, practicum hours, or class credit for your time at Camp Wamp?

YesNo

Which session would you be available to volunteer for? (Select all that apply)

July 7, 2024 - July 13, 2024 (ages 13-18)July 14, 2024 - July 20,2024 (ages 8-12)July 21, 2024 - July 27, 2024 (ages 13-18)July 28, 2024 - August 3, 2024 (8-18)

In what role would you like to join the Camp Wamp team?

Will you pass a drug test?

YesNo

When is the earliest date you are available to be on site?

Have you ever been convicted of a crime?

YesNo

If you selected "yes" for the above question, please briefly describe the nature of the crime(s) the date and place of the conviction(s), and the legal disposition of each of the cases. *Volunteer Opportunities will not be denied to any applicant solely because of a conviction. Each case will be evaluated based on its own facts and merits.*

Please share any other names we may need in order to verify your employment experience and education.

Have you ever applied for employment with Camp Wamp in the past?

YesNo

Have you ever been employed by Camp Wamp in the past?

YesNo

Have you ever volunteered with Camp Wamp?

YesNo

COVID-19

The safety and well-being of our campers, their families, our volunteers, and our staff are of the utmost importance to us at Camp Wamp. We are taking all possible and appropriate measures to ensure everyone has a safe experience at Camp Wamp this summer.

As we continue to monitor developments regarding COVID-19, we are reviewing updates from the CDC, the ACA and Department of Public Health daily. We understand the concern surrounding the possible impacts of our programs. We are paying close attention to local guidance and are following all preventive measures to protect the vulnerable population we serve.

Covid-19 Vaccination Status?

Initial Vaccination CompleteBooster Complete

Not vaccinated

Not Vaccinated reason *

Medical exemption

Religious exemption

Plan to receive vaccination prior to June 2023

Education and Training

What level(s) of education have you completed?

Some High SchoolHigh SchoolCommunity College/Trade SchoolCollege/UniversityGraduate SchoolNone

Are you certified in any of the following areas? (please select all that apply)

CPRFirst AidLifeguardWilderness and Remote First AidWilderness First ResponderChallenge Course InstructorChallenge Course SupervisorArchery InstructorSmall Craft Safety InstructorServ SafeFood Handlers Card

ACLS (Advanced Cardiac Life Support)

PALS (Pediatric Advanced Life Support)CNA (Certified Nursing Assistant)LPN (Licensed Practical Nurse)RN (Registered Nurse)

CTRS (Certified Therapeutic Recreation Specialist)

Other Pertinent CertificationNone of the Above

If you selected any of the above certifications, please provide the date of expiration and the certifying body.

Please rate your fluency in English

FluentGoodFairN/A

Please rate your fluency in Spanish.

FluentGoodFairN/A

Please rate your proficiency in American Sign Language.

FluentGoodFairN/A

Personal Narratives

Why do you want to work at Camp Wamp?

What contributions do you see yourself making as a member of the Camp Wamp team?

What value do you think organized programming and recreation have in the lives of people with disabilities?

Please provide us with any additional information you would like us to keep in mind as we consider your application.

Certification

Please carefully read the following before submitting this application form. Checking the boxes next to each statement indicates your agreement to the corresponding statement.

I hereby certify that I have personally completed this application and that the answers given me to the foregoing questions and statements are true and complete and that no material fact has been omitted. I understand that any false statements appearing on this or any other employment form will be sufficient reason to end further consideration of this application and not hire me; if discovered after my employment, such false statement will be sufficient reason for dismissal from the services of the Stephen J. Wampler Foundation Inc. regardless of the time that has elapsed before discovery.

I understand that filing this application in no way assures me a position with Stephen J. Wampler Foundation Inc. and that this application is not, and is not intended to be, a contract of employment. I understand that, if employed, my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, and at the option of either Stephen J. Wampler Foundation, Inc. or myself. I further understand that no one other than the Board of Director of Stephen J. Wampler Foundation, Inc. has any authority to enter into any agreement for employment for any specified period of time, or to make any agreements contrary to the foregoing.

If employed by Stephen J. Wampler Foundation Inc., I agree to abide by the rules, policies, and procedures of Stephen J. Wampler Foundation Inc. and subsequent rules, policies and procedures that may become effective after employment. I understand that my initial and continued employment may be contingent upon the successful completion of a medical examination, and such examination may include drug and alcohol screening. I understand that Stephen J. Wampler Foundation Inc. believes strongly in a drug-free work environment and agree to abide by the drug and alcohol policies of Stephen J. Wampler Foundation Inc. during the time of my employment.

Date (MM/DD/YYYY)

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Contact Information