Volunteer

First Name*

Last name*

Your email*

Phone Number*

Age*

Pronouns*

Gender

Address*

Address Second Line

City*

State*

Zip Code*

Occupation*

Do you have any medical conditions or concerns, or are you taking any medications that you believe could prevent you from being an effective volunteer that we need to know about in order to help you be effective at camp?*

Level of education*

Please describe any relevant experience*

How do you feel you would be best utilized at camp*

Why would you like to be apart of Camp Kikima*

What's your favorite scary movie?*

Criminal Background - If your records have been expunged pursuant to applicable law, you are not required to answer yes to the following questions. If you are unsure whether to answer yes, we strongly suggest that you answer yes and fully disclose all incidents to avoid any future risk of embarrassment upon disclosure. - Have you ever been convicted of or pleaded guilty to any crimes (including crimes of record which have been expunged and pleas of 'no contest'), including municipal, state and federal?*

Yes

No

Have you ever been subject to any court order involving any sexual, physical or verbal abuse including but not limited to any domestic violence or civil harassment injunction or protective order?*

Yes

No

Have you ever resigned, been terminated or been asked to resign from a position, whether paid or as a volunteer, due to a complaint(s) of sexual, physical or verbal abuse?*

Yes

No

Explanation (if needed)

Last four digits of your Social Security Number - Your Full Social Security number may be required separately to obtain the criminal background check from a third party.*

Drivers License Number*

State where issued*

I authorize Camp Kikima, LLC to conduct a complete criminal history check as a basis of my placement as an employee or volunteer with the organization. I understand that I am to report any changes in my criminal history to Camp Kikima, LLC.

I agree

Sign*

Date*

Interested in being a Camp Kikima volunteer?

Applications for volunteers opens March 1st. Spots are filled on a rolling basis. Sign up for our newsletter (bottom of this page) to be notified when applications open!

Interested in being a Camp Kikima volunteer?

Thank you for your interest in being a part of the Camp Kikima Team!

Camp Kikima, LLC

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