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 "We seek to meet the needs of parents caring for children with disabilities." 

Summer Camp Volunteer Application

Welcome!

All information is held strictly confidential. This form must be completely filled out. The information is vital to your acceptance and possible placement as a volunteer at our camp.

T-Shirt Size:*
Do you speak a foreign language?*
Do you have previous experience training or working with children who have special health care needs?*
Have you received certification in any of the following?*
Do you have any medical condition or concerns? Are you taking medication that you believe could prevent you from being an effective volunteer that we need to know about in order to help be effective at camp?*
Personal Reference: (No Relatives) Please notify your references that they will be contacted via email or phone. Your application will not be processed until all references have been checked. Do you understand? *
Which age group do you work best with?*
CRIMINAL BACKGROUND: If your records have been expunged pursuant to applicable law, you are not required to answer to the following question. If you are unsure whether to answer, we strongly suggest that you answer yes and fully disclose all incidents to avoid any future risks of embarrassment upon disclosure. Do you understand?
1) Have you ever been convicted of or pleaded guilty to any crimes (including crimes of record, which have been expunged and pleas of 'no contest'), including municipal, state, and federal?*
2) Have you ever been placed on probation, received a Suspended Execution, Suspended Sentence or Suspended Imposition of Sentence for any offense involving a minor child (a child under 18), or been placed on ANY local, state, or federal sexual registry?*
3) Have you ever been sued in a civil court of law where the allegations in the suit involved illegal, inappropriate, or sexual conduct or contact with a minor child or individual with special needs?*
4) Have you ever been subject to any court order involving any sexual, physical or verbal abuse including but not limited to any domestic violence or civil harassment injunction or protective order?*
5) Have you ever resigned, been terminated or been asked to resign from a position, whether paid or as a volunteer, due to a complaint of sexual, physical, or verbal abuse of minor or individual with special needs?*
REPRESENTATION AND RELEASE: I understand that Camp Trusted Parents must abide by certain policies and parameters established by Trusted Parents, Inc., including strict policies against any form of child abuse, and that violation of these policies may be cause for dismissal. Child abuse is punishable by law, and Trusted Parents is bound by law to report allegations of abuse or any inappropriate sexual contact to the proper authorities. All reporting is kept confidential, by law. All volunteers must commit to immediately report any behavior that seems suspicious, questionable, abusive or inappropriate between: child-to-child, staff-to-child, and staff-to-staff. *
I understand that I will be required to submit to a background check as a condition of acceptance as a volunteer, and that unsatisfactory results, refusal to cooperate, or any attempt to affect the results of these background checks will result in me being removed as a volunteer or volunteer applicate.*
I hereby certify that all of the information provided by me in this Application (or in any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in these documents may (or will) be cause for the denial of acceptance as a volunteer, or immediate removal as a volunteer, regardless of the timing or circumstances of discovery.*
I hereby authorize Trusted Parents to contact any references that may have information about me, and for them to provide to you such information, including opinions, that they may have regarding my character and fitness for working with children; I hereby release any such references who may have provided information about me, including record custodians, both collectively and individually, from any and all liability for damages of whatever kind of nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply with this authorization. *
I also agree to hold Trusted Parents and its affiliate organizations, and any other person to whom the release above applies, harmless from any damages, specifically including attorney fees and court costs, created by or relating to my unwarranted attempt to collect damages for providing information described above or any other unwarranted action by me in connection with this Application. I waive any right that I may have to inspect any information provided about me or by any person or organization identified by me in the Application process.*
I hereby release, and agree that I , my successors, assignees, heirs, guardians and legal representatives will not make any claims or take any legal actions against, Trusted Parents, or any of its affiliates organizations, or its officers, directors, employees, agents, or volunteers ("Released Parties"), for my injury, death, damages, or loss, however caused, arising from or in connection with my participation in Camp Trusted Parents activities, with the exception of my injury, death, damage or loss as the direct result of illegal or grossly negligent acts by Trusted Parents, and I will hold the Released Parties harmless from any costs or loss, including attorney fees and court costs, arising from or in connection with my activities in violation of these provisions.*
I understand that submission of an application does not guarantee me acceptance as a volunteer. I further understand that should Trusted Parents extend an offer to me as a volunteer, it is for no specific duration and may be revoked by either Trusted Parents, or me at any time, with or without cause.*
I understand that none of the documents, policies, procedures, actions, statements of Trusted Parents, the camp, its leaders or their representatives and agents used during the volunteer application process is deemed an offer for a contract or in fact a contract, real or implied. If accepted as a volunteer, I agree to conform to the rules, regulations, policies, and procedures while serving as a volunteer, and understand that such compliance is a condition of remaining a volunteer.*
I have carefully read the above Application and this Acknowledgement and Release and know and understand its contents; I also know the above is legally binding on me. I sign this Application and Release of my own free will.*
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Thank you for interest in volunteering with Camp Trusted Parents. A representative will contact you as soon as possible. Thank you, Trusted Parents