CHH Volunteer Application

Camp Healing Hearts Volunteer Application

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.
Name*

First NameLast Name
Applicant will be above the age of 17 prior to May 9th?*

YesNo
Date of Birth*

MonthDayYear
*Applicants under the age of 17 may be disqualified if they do not meet certain requirements. Please call Volunteer Coordinator, Carolee Cook, at 501-906-4307 for more details/arrangements.
Phone Number*
xxx-xxx-xxxx
E-mail
T-Shirt Size*

SMLXL2XL3XL4XL
Volunteer Opportunities
*The camp schedule may be different this year and is still not finalized, so some times are subject to change and/or are generic until finalized. Sorry for the inconvenience!
Friday, May 9th

4:30-6:00pm Luggage Transport5:00-700pm Cabin Greeter/Dinner6:00-7:30pm Dinner/Ice Breakers7:00pm-8:30pm Candle Light Memorial, Campfire & S'Mores9:00pm-7:30am - Cabin Monitor
Saturday, May 10th

8:00am-11:00am Arrival/Breakfast/Heart-2-Heart11:00am-12:00pm Group Activity11:00-1:00pm Cookout1:00pm-4:30pm Family Group Activities (Canoeing, Fishing, Archery)4:00-5:30pm Luggage Transport4:30pm-6:00pm Closing/Take-down
Have you ever worked or volunteered with Methodist Family Health?*

YesNo
Previous experience:
Current Methodist Family Health Employee?*

YesNo
***Please note: If you are a non-exempt employee (hourly), you must get your direct supervisor's approval to "volunteer" at this event.
Program:
Direct Supervisor:
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Information
Name of Person to Contact:
Relationship:
Phone Number of Contact:
Secondary Number:
Criminal History
Have you ever been convicted of a felony or misdemeanor?*

YesNo
Please explain conviction:
Have you ever been listed on the child maltreatment central registry in any state as a perpetrator of child maltreatment?*

YesNo
If yes, please explain:
*We encourage all CHH volunteers to attend one of two volunteer trainings prior to camp. The trainings will be done virtually at the following times/dates. If you sign up for a training the meeting information will be sent a week prior to the meetings. Let us know if you have questions!

Please choose your training time/date below
Volunteer Trainings

Wednesday, April 30th at 12pm (Noon)Thursday, May 1st at 5:30pm
Submission Information
Following the review and acceptance of your volunteer application, you will be contacted by our staff. At that time consent forms/background checks will be sent to you for you to review and fill out. Please feel free to email us with any questions you may have. You may email Carolee at ccook@methodistfamily.org, for more information.
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Camp Healing Hearts Volunteer Application

Volunteer Opportunities

Emergency Contact Information

Criminal History

Submission Information