Summer Camp 2020 - Staff Application

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Application must be fully completed before any staff applicant is considered. Applicants must be 18 years of age or older and have completed a minimum of 1 year as a counselor (excluding medical staff).
Staff Applicant Information
Mailing Address
Emergency Contact Information
Position Requested (Full Job Description Available on Website)
  • Camp Director – Organizes campers and counselors, room assignments, over sees daily activities, maintains a safe and friendly environment for all participants, answers questions from participants concerning sessions.
  • Maintenance/Grounds Keeper – Maintains grounds, keeps water supplied in coolers, sets up activities, support for issues with cabins, repairs broken equipment etc.
  • Arts and Crafts Coordinator – develops and delivers arts and crafts program and materials
  • Activities Coordinator – develops delivers team and group activities and materials
  • Junior Counselor Coordinator – recruits and manages Junior counselors
  • Fishing Coordinator – facilitates fishing for special needs campers and obtains materials
  • Medical Staff – Doctor, registered nurse, paramedic – responsible for dispensing all medications and performing necessary medical procedures. Ie.. feeding tubes, caths, etc.
  • Facilitator – makes supply runs daily from camp to local stores, repairs equipment etc.
  • Water Activities Coordinator – Oversees boating, water slide and other activities dealing with the lake.
  • Photographer
Health Insurance Information
Health Condition
Medical Experience (Medical Staff Only)
Criminal History

Professional Reference
Personal References
Please give the name, email address and phone number of three different people not related to you, that you have known at least one year.
Reference 1
Reference 2
Reference 3
Affirmations and Consents
I hereby affirm that all information given is true and complete. By signing below, I warrant that all information entered within this application is complete and accurate. I understand and agree that if I have misled Camp Dream Foundation, Inc. my application and/or staff position will be terminated immediately.
I am assuming the responsibility as a volunteer staff member for the duration of the camping sessions chosen herein above. I release, absolve, indemnify, and hold harmless Camp Dream Foundation and its affiliates. In case of injury to myself, I hereby waive all claims against Camp Dream Foundation and its affiliates. I also acknowledge that all information provided in this application is to be kept confidential. 

I release and waive any potential future claims against Camp Dream Foundation and its affiliates, employees, staff, and volunteers for any property damage and/or personal injury arising out of any activity connected with this camping session and/or use of camping facilities, including by way of example only and without limitation, transportation to and from events, use of facilities and equipment, and negligence of any person or entity. 
Consent to Perform Criminal Background Checks
I agree that by submitting this application, I am granting the Camp Dream Foundation permission to perform background checks to ensure the safety of the campers. Background checks may include, but are not limited to criminal background checks, driver’s license validation and sex offender listings. 
Photographs, Likenesses, Images and Recordings
I give my consent to Camp Dream Foundation, Inc. to photograph and/or make video or audio recordings of me without limitation and to use such photographs, videotapes or audiotapes and my name, likeness and voice and/or any related stories (“Likeness”) in connections with any of the work, programs, projects, fundraising or other endeavors of Camp Dream in any and all media, including without limitation, electronic or digital media, whether known or unknown at this time, forever worldwide and without restriction, without consideration or compensation of any kind. I release, discharge and hold harmless Camp Dream Foundation, Inc. and its affiliates, including, without limitation, its officers, directors, shareholders, employees, agents and contractors (“Camp Dream”) from any and all claims and demands arising out of or in connection with the use of my Likeness, Including slander, libel, invasion of privacy or publicity, and/or copyright infringement . This Release applies to me and my heirs, legal representatives and assigns and I do release, discharge and hold harmless Camp Dream Foundation, Inc. from any claim or demand whatsoever arising out of or in connection with such use. 
Diminished Capacity Waiver
Camp Dream is designed and intended to accommodate campers with mental and physical disabilities. Due to their diminished capacity, campers can be unpredictable. Campers will occasionally engage in conduct which may be considered rude, vulgar or socially inappropriate. This type of behavior may cause staff members and volunteers to feel uncomfortable, embarrassed and/or offended. While Camp Dream tries to minimize these types of incidents, it is impossible to eliminate them completely.

I acknowledge the specific risk of being exposed to conduct that I find offensive, rude, vulgar or otherwise beyond the norms of society. By signing this application and agreeing to volunteer at Camp Dream, I expressly assume the risk that Campers may engage in such conduct. In consideration for being allowed to volunteer at Camp Dream, I release and waive any potential future claims against Camp Dream, its employees and staff, including volunteers, that may arise due to the actions of campers during the sessions chosen herein above.