2020 Freedom Camp Counselor Volunteer Application Form

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Thank you for your interest in Freedom Camp!

Email *

Name *

Please enter your First name

Last Name *

Last name

Phone number *

Age: *

I am 18 years of age or older

I am 17 years or younger

Training: I have the training on Saturday, July 18 marked on my calendar and look forward to attending from 9 am to 2:30 pm. *

Absolutely

I would like to come to the training, but I have a schedule conflict

I understand that if selected, I will need to complete Live Scan Fingerprinting by Friday July 17, 2020. *

I agree

I do not agree

I understand that if selected, I will need to provide proof of Tuberculosis (TB) clearance by Friday July 17, 2020 *

I agree

I do not agree

Lead-in sessions take place July 20-July 31. My schedule has flexibility so that I can participate. *

Absolutely

I have a scheduling conflict

Please Check the Volunteer Position you are Applying for: *

Camp Counselor

Junior Camp Counselor

Either Camp Counselor -or-Junior Camp Counselor

I understand that if selected as 1 of 24 Counselors -or- 1 of 6 Junior Camp Counselors, I will be asked to complete a Contract confirming my commitment. *

I agree

I do not agree

I agree to send my cover letter and resume to Catherine Eckel, PhD at ceckel@drcatherineeckel.com *

Absolutely

Other

I agree to send my cover letter and resume to Dr. Agredano at info@cardinalpsychiatry.com *

Absolutely

Other

How did you learn of Freedom Camp? *

A copy of your responses will be emailed to the address you provided.

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