*Denotes Required Field * Title Camp Nurse Volunteer Application Our work with children and youth necessitates a thorough volunteer application process. Thank you for your time as you complete this process and prepare to share in the impact of camp. * First name * Last Name * Birthdate Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 Sex Male Female * Phone Number ( ) - * Email * Home Town * Do you intend to attend or volunteer with your spouse? Spouses can volunteer in different roles, but each must complete their own application. Please select an option Attending with spouse. Attending individually. Do you have a dietary need? (Our kitchen is able to accommodate gluten-friendly, dairy-friendly, and vegetarian requests). * Nurse license/registration number. Emergency Contact * First Name * Last Name * Phone Number ( ) - Volunteer Availability Youth Camp 1 | July 5-10 If you are volunteering outside of the summer what are the dates or name of the retreat. Question & Answer Please share about your involvement in your community or local church. If you have worked/volunteered at camp before, please share your experience. * Are there any limitations that we should be aware of or reasons you might find this work challenging? * Do you have a Criminal Record Yes No Explain * Have you ever been accused of any form of Physical, Sexual, or other Abuse? Yes No Explain * Have you ever been investigated for any form of Abuse Yes No References Please supply the name and contact information of 1 person who has agreed to be your reference. These are character references (employer, friend, pastor, etc.) No relatives please. * Reference Name * Relationship to you. * Phone Number ( ) - Beliefs We are part of the Christian and Missionary Alliance in Canada (C&MAC). You can read about our beliefs here: https://thealliancecanada.ca/beliefs/ Signature * I have looked over the entire application and to the best of my knowledge the information is accurate and complete. * I agree to operate as a volunteer under the authority structure of Eagle Bay Camp. * I will support and abide by the standards and policies of Eagle Bay Camp. I also understand that failure to abide by these standards may mean an early dismissal from my position. * I understand that drugs and alcohol are not permitted on site. * I understand the need to submit a Criminal Record Check before volunteering and give permission to Eagle Bay Camp to collect these reports. * I agree to live in harmony with other staff, volunteers, and guests. Contributing meaningfully to the positive experience of everyone. * Sign Here Use your finger or mouse to sign in this box. Clear Signature * Date signed Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026
