Camp Wieser Volunteer Application 2019 Step 1 of 4 25% CAMP WIESER VOLUNTEER APPLICATION 2019A Program of The Me-One Foundation Please complete this form in one sitting and allow about 15 minutes from start to finish. Have your Driver's License number and any spa credentials handy before you start. Thank you for wanting to help our Campers and Guests! All applications for volunteers will be reviewed and considered by our selection committee. Selection of applicants for each camp session is solely within the discretion of the selection committee. Minimum age for volunteers is sixteen for Mike's Minions, eighteen for all other positions. Due to liability and safety reasons, we may need to research background information on applicants. Please know we mean no invasion of privacy; we mean only to protect our campers. THANK YOU FOR UNDERSTANDING. When you have filled out the form and click "Yes, Sign Me Up" you will be redirected to a new page. On that new page you'll be given an opportunity to donate toward your meals and lodging at Camp. It's optional, but much appreciated. Camp Dates are September 13, 14 and 15. Deadline for applying as a volunteer is August 15. Please provide the following information to assist us in this process. Name* First Last First Time Volunteering at Camp Wieser?*NoYesAny changes to your information since you last completed a Volunteer Application?*Have you moved? New mobile phone? New email address?Yes - Things have changedNo - No changes from my prior Volunteer ApplicationGender*FemaleMaleDate of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Preferred Phone #*Phone Type*Cell / MobileHomeWorkEmail*If signing up for a teenager who may not have an email address, please use the parent's email address. Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Driver's License Number, State of Issue and Expiration DateThis is required if you are expected to drive a vehicle on the Camp premises during Camp Wieser.Emergency Contact, Relationship and Phone Number*T Shirt Size (Adult)*Note: If you volunteered at Camp Wieser 2017 or 2018 and you still have those T Shirts, please select the last option.SMLXL2XLI have T Shirts from prior Camp Wieser and will bringI am applying to volunteer for:*Spa ServicesGeneral Support ServicesPotential Assignments Family Host. Family Hosts work directly with a camper family or group for an entire weekend. Family hosts are expected to be at camp early Friday for setup and stay through mid-afternoon Sunday for cleanup Arts and Crafts. Assist in the Crafts building. Construction. Setup of camp decorations/take down and cleanup. Minion. Minions are teens 16 or older under the direction of an adult volunteer. Other - Free Agent, Pinch HitterMinions Are Still Needed - all others are full!* Minions Check All Areas of Interest* Family Host Arts and Crafts Construction - Setup and Teardown Minion Other - Free Agent - Pinch Hitter Areas of Interest for Spa Services - Check all that apply*We will try but cannot assure placement in your preferred area. Reception Area Reflexology Chair Massage Table Massage Hypotherapy Manicures Pedicures Facials Reiki or Energy Haircuts Makeup Other - please specify Acupuncture Other Areas of Spa ServicesAre you licensed in any of the above areas of Spa Services?If you are, please provide details and your license or certification information. Massage Therapists, please include your ABMPP or AMTA number.Tell us about your previous volunteering experiencesPlease include the organizations and positions held, the dates, location, a supervisor's name and phone number. Please list at least one personal reference.*Include their name, relationship, years known, city, state and phone number.Have you ever been convicted of a crime other than a minor traffic violation?*NoYesIf you answered "yes please explainDo you have any special training (i.e. CPR or First Aid)NoYesIf Yes, please describeDo you have any allergies or are you on any medications?NoYesIf Yes, please describeHow did you first hear about Camp Wieser?Even if you are a returning Volunteer, we'd love to know how you heard about Camp.Why do you want to volunteer at Camp Wieser?*We'd love to know what inspires you to do this for our Campers and Guests.Is there anything additional you feel we should know?Cabin / Bunkmate / Roommate RequestIn an effort to keep our volunteer costs at a minimum and to maximize the available lodging, volunteers are housed by gender. You will be assigned lodging with other volunteers of your same gender and your roommate may be someone you do not know. We do our best to honor same-gender roommate requests, but cannot guarantee it. There is a $10.00 refundable room key deposit. You may leave your deposit in the form of cash, check or personal ID or card. Your deposit will be returned when you turn in your room key Sunday morning before Closing Ceremony. Mission Springs charges the Foundation $10.00 for each lost key.Do you need room accommodations at Camp Wieser?*Yes, Friday night onlyYes, Friday and Saturday bothNo thanks. Authorization for Background CheckI understand and agree that this authorization serves as an on-going authorization for The Me-One Foundation to investigate the above information as well as to obtain any further background information and reports (such as criminal and court records) for employment/volunteer purposes relative to any assignment I may be applying for or already have as a The Me-One Foundation Volunteer/Staff Member. By agreeing below, I represent that the afore-mentioned information is true and correct to the best of my knowledge and that I provide permission for Camp Wieser, The Me-One Foundation or appropriate representatives thereof to research this information. Should information be found to be false, I understand and agree that it is grounds for denial of a position, and/or immediate termination and/or removal from camp or The Me-One Foundation property. Should any of the above information change, I understand that it is my responsibility to notify the appropriate representative of Camp Wieser/The Me-One Foundation (in a timely manner prior to any volunteer functioning). Lastly, I understand that the position I am applying for is strictly a voluntary position with no financial compensation unless clearly stated otherwise. Note: Submission of this application does not assure acceptance as a The Me-One Foundation volunteer. THANK YOU FOR YOUR INTEREST IN BEING A VOLUNTEER! I agree to the terms* I have read and agree to the conditions stated above Authorization If Applicant is a MinorAs the Parent or Legal Guardian of the applicant, by virtue of my typing my name and today's date, I accept the terms of this volunteer application. Release and Waiver of Liability and Photo ReleaseBy checking the box below, the undersigned on behalf of him/herself, their agents, heirs and representatives hereby releases, waives, discharges and covenants not to sue Camp Wieser, The Me-One Foundation or any of its affiliates, members of its board of Directors, employees, agents, contractors, volunteers and all other camp personnel whether volunteers or paid staff, (hereinafter referred to as “Releasee”) for any and all liability, claims, demands, damages, causes of action, losses, or expenses (including attorney’s fees and expenses) to the undersigned and/or to any minor child being signed for, on account of physical, mental, or emotional injury, or death of the person or minor child or to the property of the person or minor child, whether such injury or death be caused by the negligence, gross negligence of the Releasee or otherwise, while the person or minor child participates in Camp. Notwithstanding any other provision of this Release and Waiver, the undersigned also releases The Me-One Foundation, but no other Releasee from any liability whatsoever arising from any injury, damage, or death to the person or minor child where said injury, damage, or death is the result of, or arises from any intentional or criminal conduct upon the part of a Me-One Foundation employee, agent, volunteer, camp counselor, or any other camp personnel. The undersigned hereby grants Camp Wieser and/or The Me-One Foundation or any of its affiliates, members of its board of Directors, employees, agents, contractors, volunteers, guests and all other camp personnel, whether volunteers or paid staff, permission to allow, take, release or utilize pictures and/or recordings of an audio or visual nature or both of themselves and/or any minor they are signing for, as deemed appropriate by Camp Wieser and/or The Me-One Foundation for means of public relations, marketing, media or otherwise. The undersigned hereby releases, waives, discharges and covenants not to sue Camp Wieser nor The Me-One Foundation or any of its affiliates, members of its board of Directors, employees, agents, contractors, volunteers and all other camp personnel whether volunteers or paid staff for any and all liability, claims, demands, damages, causes of action, losses, or expenses (including attorney’s fees and expenses) to the undersigned and/or to any minor child being signed for. The undersigned further expressly agrees that the foregoing release and waiver is intended to be as broad and inclusive as is permitted by the law of the State of California, and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. The undersigned has read and voluntarily signs, by checking the box below, the Release and Waiver of Liability and Photo Release and further agrees that no oral representations, statement or inducement apart from the foregoing have been made, and that this Agreement may only be modified by a written document signed by the undersigned and a duly authorized representative of The Me-One Foundation. I agree to the terms* I have read and agree to the conditions stated above Authorization If Applicant is a MinorAs the Parent or Legal Guardian of the applicant, by virtue of my typing my name and today's date, I accept the terms of the Release and Waiver of Liability and Photo Release. Sexual Abuse and Misconduct Prevention Policy The Me-One Foundation, Inc. prohibits and does not tolerate sexual abuse or misconduct in the workplace or during any organization-related activity. The Me-One Foundation, Inc. provides procedures for employees, volunteers, board members or any other victims of sexual abuse or misconduct to report such acts. Those reasonably suspected or believed to have committed sexual abuse or misconduct will be appropriately disciplined, up to and including termination of employment or membership, as well as criminally prosecuted. No employee, volunteer, board member or other person, regardless of his or her title or position has the authority to commit or allow sexual abuse or misconduct. Definitions and Examples The following definitions or examples of sexual abuse, misconduct or harassment, may apply to any and/or all of the following persons – employees, volunteers or other third-parties. Sexual abuse or misconduct may include, but is not limited to: • Child sexual abuse – any sexual activity, involvement or attempt of sexual contact with a person who is a minor (under 18 years old) where consent is not or cannot be given. • Sexual activity with another who is legally incompetent or otherwise unable to give consent. • Physical assaults or violence, such as rape, sexual battery, abuse, molestation or any attempt to commit such acts. • Unwanted and intentional physical conduct that is sexual in nature, such as touching, pinching, patting, brushing, massaging someone’s neck or shoulders and/or pulling against another’s body or clothes. • Material such as pornographic or sexually explicit images, posters, calendars or objects. • Unwelcome and inappropriate sexual activities, advances, comments, innuendoes, bullying, jokes, gestures, electronic communications or messages (e.g. email, text, social media, voicemail), exploitation, exposure, leering, stalking or invasion of sexual privacy. • A sexually hostile environment characterized as comments or conduct that unreasonably interferes with one’s work performance or ability to do the job or creates an intimidating, hostile or offensive environment. • Direct or implied threats that submission to sexual advances will be a condition of employment or affiliation with the organization. Reporting Procedure Immediately report suspected sexual abuse or misconduct to any Me-One Foundation Board Member. It is not required to directly confront the person who is the source of the report, question or complaint before notifying any of the individuals listed. The Me-One Foundation will take every reasonable measure to ensure that those named in complaint of misconduct, or are too closely associated with those involved in the complaint, will not be part of the investigative team. Anti-retaliation and False Allegations The Me-One Foundation, Inc. prohibits retaliation made against any employee, volunteer, board member or other person who lodges a good faith complaint of sexual abuse or misconduct or who participates in any related investigation. Making knowingly false or malicious accusations of sexual abuse or misconduct can have serious consequences for those who are wrongly accused. The Me-One Foundation prohibits making false or malicious sexual misconduct allegations, as well as deliberately providing false information during an investigation. Anyone who violates this rule is subject to disciplinary action, up to and including termination of employment or membership and criminal prosecution. Investigation and Follow-up The Me-One Foundation, Inc. will take all allegations of sexual abuse or misconduct seriously and will promptly, thoroughly and equitably investigate whether misconduct has taken place. The organization may utilize an outside third-party to conduct an investigation of misconduct. The Me-One Foundation, Inc. will cooperate fully with any investigation conducted by law enforcement or other regulatory/protective services agencies. The Me-One Foundation, Inc. make every reasonable effort to keep the matters involved in the allegation as confidential as possible while still allowing for a prompt and thorough investigation. Reporting to Law Enforcement or Appropriate Child or Adult Protective Services The Me-One Foundation, Inc. is committed to following the state and federal legal requirements for reporting allegations or incidents of sexual abuse or misconduct to appropriate law enforcement and child or adult protective services organizations. It is the policy of The Me-One Foundation, Inc. not to attempt to investigate or assess the validity or credibility of an allegation of sexual or physical abuse as a condition before reporting the allegation to proper law enforcement authorities or protective services organizations. Employee and Worker Screening and Selection As part of its sexual abuse and misconduct prevention program, The Me-One Foundation, Inc. is committed to maintaining a diligent screening program for prospective and existing employees, volunteers and others that may have interaction with those employed by, associating with or serviced by The Me-One Foundation, Inc.]. The organization may utilize a variety of methods of screening and selection, including but not limited to applications, personal interviews, criminal background checks and personal and professional references. Supervision of Youth To provide a safe environment for minors, The Me-One Foundation, Inc. strives that a minimum of two adult workers supervise or be in attendance with minors during organization-related activities. The purpose is to avoid one-on-one interactions between adults and minors that are not easily observable by others. Volunteers will never be alone with an individual youth where they are not observable by others. I agree to the terms* I acknowledge that I received and read the Sexual Abuse and Misconduct Prevention Policy and/or had it explained to me. I understand that it is my responsibility to abide by all rules contained in the policy. I also understand how to report incidents of sexual abuse or misconduct as set forth in the policy, including retaliation against any employee or volunteer exercising his or her rights under the policy. I acknowledge that I will be alerted when changes and updates are made to the Sexual Abuse and Misconduct Policy and will be responsible for reading and complying with these updates. Authorization If Applicant is a MinorAs the Parent or Legal Guardian of the applicant, by virtue of my typing my name and today's date, I accept the terms of the Sexual Abuse and Misconduct Prevention Policy.THANK YOU FOR YOUR INTEREST IN BEING A VOLUNTEER!