Power of Hope
Volunteer/Staff Application Form
Whidbey Island
July 28 - August 4, 2019
(July 27th is a mandatory staff prep day)

Privacy Policy

Your contact information will be stored in our registration system as part of your permanent transcript with Partners for Youth Empowerment. The personal information collected here is kept confidential to be used only in the application process and for the duration of the Power of Hope camp. For complete details on PYE's Privacy Policy, visit the website.

Contact information


















About You














Demographics
The following information is useful to us to ensure that we have a diverse/multicultural staff that reflects the needs of our youth.


References
Provide three references including two personal references (people you have known for three or more years other than family), and one professional reference.







Commitment/Accomodations


Consent to Basic Guidelines
These guidelines have been established for youth participants of this camp in order to create a safe and respectful environment for everyone. Please help youth follow them by adopting them yourself as well.
  • Refrain from coupling/sex
  • Refrain from using drugs or alcohol
  • Avoid violence

Supplemental




If you have any difficulty in submitting this form, please contact Susan Janow (susan@partnersforyouth.org) for assistance. Thank you.
Background Check

The following information is necessary for us to complete a State of Washington Criminal Background CheckThis must be completed by applicants for any volunteer or staff position involving the supervision or custody of minors at the PYE/Power of Hope camp. This information helps us provide a safe and secure environment for youth who participate in our programs. 

Please note that if you are coming from outside of Washington state, you will be required to submit a copy of your Criminal Background Check to: 220 2nd Ave South #3, Seattle, WA 98104 prior to the camp start date.





Medical and Emergency Information




















Emergency Contact Information
Please let us know the names of one or two people to contact for you in case of an emergency at camp.







Dietary Needs 
Please let us know of any special dietary needs and preferences.