Please complete the application form below


Volunteer Information

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Education and Experience

Are you currently certified in any of the following?:


 
 

References

Name someone from the community or work. Do not use a relative
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Name someone from the community or work. Do not use a relative
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Emergency Contact

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Consent

Commitment:
I understand that my service is important to the camp's success. I promise to serve the hours assigned and if I cannot be at the camp, I will promptly inform the camp coordinator.
 
Consent:
I authorize emergency treatment for myself if I am injured or taken ill during my service at camp if I am not able to give consent for treatment and the staff is unable to reach my emergency contact named above. I give full permission for use of my name, photograph, or voice in promoting VACC Camp without limitation, reservation, or compensation.
 
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Health Form

Have you had any of the following?:



 
Have you been immunized for any of the following?:



 
Do you have/ or are being treated for any of the following:










 
 

Shake-A-Leg

Upload the Shake-A-Leg Participant Consent form provided online

Hour Pledge Form

FULL TIME VOLUNTEERS: (3‐23/3‐30) DAY‐ (7:30AM to 9:30PM (March 24 and March 30th start at 8:30 am and Thursday, April 13th ends at 10:00 PM)
Full time volunteers must do their hours every day or will not go to field trips nor will they get their hours, unless absence is valid and/or previously approved.

PART TIME VOLUNTEERS: (3­‐23/3‐30) EVENINGS and/or non-­‐field trip days. MINIMUM total of 30 hrs (4:30PM to 9:30PM and non-­field trip days any hours)
Part time volunteers cannot only come to field trip days, they have to give hours on non-­field trip days as well.

I plan to help out at VACC Camp as a:

 
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Letters of Recommendation

Photo Upload

Please provide a recent photo.