Camp New Amigos Counselor Application

Camp Dates: June 12-16, 2023, 8:30am- 3:00pm 

Camp Location: NMSU - Las Cruces, NM

Contact: RUTH ORTIZ - Community Liaison heartsforautismlc@ gmail.com for any questions regarding camp. 

Sign in to Google to save your progress. Learn more
Email *
Full Name
Address
City, State, Zip Code
Home Phone Number
Cell Phone Number
Emergency Contact Name
Emergency Contact Phone Number
Shirt Size
Clear selection
What is your availability from Monday June 12 to Friday June 16?
Clear selection
Are you available for training on June 9th from 9am-2pm?
Clear selection
Please list three references:
Is this your first time volunteering for Camp New Amigos?
Clear selection
Are you bilingual?
Clear selection
Do you have any allergies?
Do you have any medical issues we should be considerate of?

Please write a short biography about yourself

Explain why you are applying for this position

Certifications / Special interests (check all that apply)

List experience working with children ages 6-13 (Please specify children with disabilities or typically developing children)

What age range are you comfortable working with?

Clear selection

List sports/recreational interests: 

Can you swim?
Clear selection
Do you feel comfortable in deep water?
Clear selection

Camp will consist of physical activity. It may require volunteers to swim, climb, and walking children to various locations in the heat and participate in Equine therapy during one of the activities. Please take this into consideration as your physical abilities, injuries, and other allergies may impact your participation. 

 *
Required

I have read, understand, and agree to comply with the General and Specific Responsibilities of the Camp New Amigos Counselor Position.

 *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms