	Volunteer eApplication

* Indicates a required field
* First Name
* Last Name
* Gender

Current Address (Mailing): If a school or temporary address, please list the last date you will receive mail at this address: / (i.e., 06/14)
*Address
Address 2
*City
*State
*Zip
*Home Phone
*Cell Phone
*E-Mail Address

*Will your current (mailing) address be the same as your summer address? Yes No. If NO, please provide a summer address below:
Summer Address:
Address
Address 2
City
State
Zip
Home Phone
Cell Phone

*Are you 19 years old or older?
Yes
No

Were you ever a camper at Camp Ronald McDonald for Good Times?
No
Yes, if YES, (Years ) (i.e. 1982-1999)

*How did you learn about our camp?

If "Friends recommendation" or "Other", please provide name:

*Have you ever been convicted of a felony?
No
Yes If yes, please explain below:

*Would you object to a criminal background check?
Yes
No

*Have you ever worked at a children's summer camp (paid or volunteer)? If yes, when and where?

Work Experience
List last two positions - most current first.

*Employer #1
Company or Organization/City	Dates employed

Supervisor Name & Phone Number	Reason for leaving

Employer #2
Company or Organization/City	Dates employed

Supervisor Name & Phone Number	Reason for leaving

Volunteer Experience
Please list volunteer experiences

Volunteer Experience #1
Organization & City	Dates volunteered

Supervisor Name & Phone Number	Volunteer Responsibilities

Volunteer Experience #2
Organization & City	Dates volunteered

Supervisor Name & Phone Number	Volunteer Responsibilities

*Education
School
Level
Major
Degrees Earned

*Tell Us More:

1. Tell us in your own words how you would describe the value of a camp experience for children:

2. What contribution can you make to the children at Camp?

3. Describe experience (s) you've had working with children.

*Availability

Please indicate which session date you can commit to

Is there any other information that you would like to share with the Camp Directors?

By submitting this eApplication I testify that I have reviewed the qualifications, responsibilities and essential functions of a Counselor. I understand that making any false statement on this application will be sufficient for discharge. I hereby guarantee the correctness of the above statements. I understand that this is an application only and not a guarantee of a position.

eSignature
(typing in your name and pressing submit below is considered a signature)