Camp Erin - Albany 2022 Volunteer Application
Thank you for your interest in volunteering for Camp Erin – Albany, 2022!

This year Camp Erin - Albany is a day camp for families!
Camp Erin for anyone experiencing a loss - Saturday, October 1st
Camp Erin for COVID loss - Sunday, October 2nd
Both camps will be held at John Boyd Thacher Park in Voorheesville, NY

VOLUNTEER POSITIONS:
Buddies - Assist with groups of campers and/or families.
Grief Counselor - Typically Hospice staff.  
Photographer -  Experienced photographers and former volunteers preferred.
Med Team - RNs administer medications for all campers.  Available for all medical needs.

REQUIREMENTS FOR ALL VOLUNTEERS:
1.            Must be at least 18 years of age
2.            Must have graduated from High School
3.            Fully vaccinated against the flu and COVID-19
4.            Interview and training required for ALL volunteers.
5.            Annual background check, for new and returning volunteers, paid for by The Community Hospice.
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Email *
ID Badge:
What name or nickname would you like printed on your nametag?
First Name: *
Your legal first name please - required for our online background check - paid for by The Community Hospice.
Middle Initial: *
Your legal middle initial please.  If you do not have a middle name, please enter "NO MIDDLE NAME."
Last Name: *
Your legal last name please - required for our online background check - paid for by The Community Hospice.
Preferred pronouns?
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Date of Birth: *
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YYYY
Mailing Address:
City:
State:
Zip Code:
Phone:
Best phone number to reach you.  Feel free to list more than one!  xxx-xxx-xxxx format please!
Occupation and Employer:
If you are currently a student, please enter "student" and specify which college or university you attend.
Military affiliation?
Ethnicity:
For statistics.
Position: *
What position(s) are you applying for?
Required
T-Shirt: *
What size Camp Erin T-shirt would you like at the end of camp?
Returning?
Are you a returning volunteer?  Please check the year(s) you attended Camp Erin - Albany weekend.
Age Range Preferences?
What age range of campers are you most comfortable working with?
Campers?
Do you know any campers attending this year's camp?  Please list their name and their relationship to you.
Certifications:
Please list any relevant certifications, education, licensing, or training.  Ex: CPR, First Aid, RN, LMSW, Grief & Loss, etc.
Emergency Contact: *
Who would you like us to contact in the event of an emergency?  Please include name, relationship, and phone number(s).
Allergies / Dietary Needs
Please list if you have any allergies (food, environmental, medicinal, etc), dietary needs or restrictions.  If none, leave blank.
Health Restrictions/Concerns
Please list if you have any physical or mental health conditions, concerns, limitations or diagnoses.  If none, leave blank.
Recent Loss?
We recommend all individuals with recent losses to wait at least a year before volunteering for Camp Erin.  Have you loss someone close to you within the last year?  If yes, please specify the date and relationship to you.
Clear selection
Convictions *
Have you ever been convicted of, or pled guilty to, a felony or misdemeanor?  
Confidentiality Statement *
Volunteers will have access to confidential information, including protected health information (PHI), both written and oral, in the course of their volunteer responsibilities. It is imperative that this information is not disclosed to any unauthorized individuals. I understand that if I do not keep protected health information (PHI) confidential, or if I allow or participate in inappropriate disclosure or access to PHI, I will be subject to immediate disciplinary or corrective action, up to and including dismissal. I understand that unauthorized access, use, or disclosure of PHI may also violate federal and state law, and may result in criminal and civil penalties.
FOR NEW VOLUNTEERS ONLY
Additional Information:
Please share with us some more information about yourself. Include any unique skills, talents, interests, relevant work or volunteer experience.
Referred By:
Please share with us how you heard about Camp Erin!
A copy of your responses will be emailed to the address you provided.
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