EmailMe Form - Volunteer Application Form

Volunteer Application Form

Name *
First Last
Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region
Phone *
### - ### - ####
Email *
Email will be our primary means of communication.
Have you volunteered at Camp Shalom before? *
Yes
No
Will you be at least 16 years old by the time you want to volunteer? *
Yes
No
Birthday *
MM / DD / YYYY
Gender
Church Information
Name of Church Where You Attend
City
Denomination
Week Selection
Select Week *
We prefer our volunteers to stay for a full week but if you would like to volunteer for only part of a week please select the week that it is a part of and then explain when you would like to volunteer in the "Additional Notes" space below.
June 29-July 4 *
Assistant Special Needs Counselor
Kitchen
Maintenance
Although we do our best to allow you to help out in the area of camp you have requested we do not guarantee that is where you will be helping out. We do not necessarily know where we will need help until the time comes.
July 6-11 *
Assistant Counselor
Kitchen
Maintenance
Although we do our best to allow you to help out in the area of camp you have requested we do not guarantee that is where you will be helping out. We do not necessarily know where we will need help until the time comes.
July 13-18 *
Assistant Special Needs Counselor
Kitchen
Maintenance
Although we do our best to allow you to help out in the area of camp you have requested we do not guarantee that is where you will be helping out. We do not necessarily know where we will need help until the time comes.
July 20-25 *
Assistant Counselor
Kitchen
Maintenance
Although we do our best to allow you to help out in the area of camp you have requested we do not guarantee that is where you will be helping out. We do not necessarily know where we will need help until the time comes.
July 27-Aug 1 *
Assistant Special Needs Counselor
Kitchen
Maintenance
Although we do our best to allow you to help out in the area of camp you have requested we do not guarantee that is where you will be helping out. We do not necessarily know where we will need help until the time comes.
Aug 3-8 *
Assistant Counselor
Kitchen
Maintenance
Although we do our best to allow you to help out in the area of camp you have requested we do not guarantee that is where you will be helping out. We do not necessarily know where we will need help until the time comes.
Aug 10-15 *
Assistant Counselor
Kitchen
Maintenance
Although we do our best to allow you to help out in the area of camp you have requested we do not guarantee that is where you will be helping out. We do not necessarily know where we will need help until the time comes.
Additional Notes
Why do you want to Volunteer at Camp Shalom? *
NOTE: All Volunteers must be at least 16 years of age before the date of volunteering

All Volunteers 18 years of age or older must have a 2023 Criminal Records Check unless specifically volunteering for kitchen or maintenance.
References
You must have two references and they must be 21 years or older – please no relatives

Your references will be automatically emailed and asked to fill out a reference form.
Reference #1 - Name *
First Last
Email *
Relationship to Reference *
Reference #2 - Name *
First Last
Email *
Relationship to Reference *
Important: Please ensure you have confirmed with the Adrian (Program Director) regarding the weeks you are volunteering before coming to camp. We cannot accept volunteers who have not submitted a Volunteer Application and volunteers 18 years of age or over, must provide a CRIMINAL RECORD CHECK before arriving on-site.
If a confirmation note does not appear after you click "Submit Application," scroll up to see if you filled in all of the required fields.