Volunteer Application Posted on February 27, 2016November 2, 2016 by campenergyadmin JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.COUNSELOR APPLICATIONCamp ENERGY Volunteer Counselor Application for the week of August 5 - 11, 2017Sign in to Google to save your progress. Learn more* RequiredBASIC INFORMATIONFirst Name *Your answerLast Name *Your answerEmail *Your answerPermanent Address (Street) *Your answerPermanent Address (City) *Your answerPermanent Address (State) *Your answerPermanent Address (Zip) *Your answerIf you have a temporary address (for example, a college dorm), please list here:Your answerPhone number *Your answerSex *MaleFemaleAge (at time of camp in August 2017) *Your answerT-Shirt Size *X-SmallSmallMediumLargeXLXXLXXXLEMERGENCY CONTACTEmergency Contact Name *Your answerEmergency Contact Relationship *Your answerEmergency Contact Phone Number *Your answerQUESTIONSTo protect the health of our campers, we require that all counselors are up to date with their vaccines as recommended by the Center for Disease Control (CDC). https://goo.gl/2HyVqH Have you complied with these recommendations? *YesNoOther:Do you have any experience working with adolescents? If so, in what capacity? Your answerHow did you hear about Camp ENERGY?Your answerDo you work at Geisinger Health System? *YesNoAre you a healthcare provider? *YesNoDo you have any special interests you can offer at camp? (i.e. physical activity instructor, team-building games, cooking demos, etc.)Your answerIs there anything else we should know?Your answerREFERENCESReferences are required for new applicants; returning staff do not need to completeReference #1NameYour answerPhone NumberYour answerEmail AddressYour answerReference #2NameYour answerPhone NumberYour answerEmail AddressYour answerReference #3NameYour answerPhone NumberYour answerEmail AddressYour answerSubmitClear formNever submit passwords through Google Forms.This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy Forms