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*I am 18 Years of age or older:
Date of Birth:
Employment (If Applicable)
*Do you carry Medical/Health Insurance? All volunteers are required to carry health Insurance.
*If Yes, Carrier:
*Group Policy #:
I would be interested in volunteering for year-round monthly programs in the following region(s):
Have you attended any of our programs before?
If yes, please indicate program(s) and year(s).
Where did you learn about Camp Good Days?
Any certifications you may have that will pertain to your volunteer activity must be current through September 2016 or later. Copies of all certification cards / licenses MUST be forwarded. FAX 716-206-0712 Attention Volunteer Coordinator.
*Mandatory: New York State Health Department requires ALL applicants to enclose a biography. We need to know about you, your experiences with Camp Good Days and Special Times, our programs, or anything that relates to your dealing with children who have special needs. Please include information on current certifications, areas of expertise, or any physical disabilities, which you may have, and how we may accommodate you.
*Brief Biography of max. 500 words
Give the names and addresses of 3 people (not relatives or members of Camp Good Days and Special Times staff) having knowledge of your character, experience and ability.
References are required for
All New Volunteers. Failure to do so will result in an unprocessed application.
New York Law requires that all applicants attend a training session. Attendance is
. If you do not attend the training session, you will not be able to volunteer. MANDATORY
The training will take place at:
Wednesday, July 20, 2016 7:00 PM - St. Philips Church, 950 Losson Rd., Cheektowaga, NY 14227
Please Read Carefully:
I am aware that in being accepted as a volunteer, I am committed to complete the MANDATORY
TRAINING requirement by attending the below checked training program. The information provided by me in the volunteer application is true and complete to the best of my knowledge. I understand that if I am selected, any false statements will be considered cause for possible dismissal. You are hereby authorized to conduct a criminal background investigation of myself.
I am a NEW volunteer and I will be attending the MANDATORY training on July 20, 2016
I am a RETURNING volunteer and I will be attending the MANDATORY training on July 20, 2016
*I have been charged or convicted of any crime involving children under 18 years of age
If you have, please explain:
All Camp Good Days medical forms will be completed online.
Once accepted into a program Camp Good Days will send you a link to its online medical forms, to the email address provided.
*I verify that I have read, understand, and agree to the statements written above.