2018 ConnecT1D Middle School Retreat Volunteer Application

VOLUNTEER APPLICATION

Thank you for your interest in being a Middle School Retreat Volunteer!

We have opportunities for the following volunteer positions:

Middle School Retreat Counselors (18+ years old) (overnight for full event)
Event Volunteers (single day or multiple days onsite, no overnight)
Medical Volunteers – MD, PA, RN, CDE, LNP, ARNP, etc.

Retreat Counselors work collaboratively to oversee campers (grades 6-8). Lodging and meals will be provided for counselors.

Event Volunteers (there are just a few of these positions) assist with overall camp operations: registration, liaison with kitchen, meeting speakers, coordinating logistics onsite with the Camp Director, setting up snacks, etc).

Medical Volunteers - We are seeking 3 medical volunteers, 1 for each day (24-hour period from 7 AM to 7 AM) of Camp in order to provide full time medical support on site to advise and support campers in diabetes care. Medical volunteers will be covered for medical liability through the Volunteer and Retired Providers Program Lodging will be provided for medical volunteers in private rooms on site. In addition to providing basic care as required throughout the camp, Medical volunteers will be primarily responsible for checking blood glucose levels overnight and helping campers deal with lows or highs as appropriate. Medical volunteers will have staff support for overnight checks from the Camp Director and other counselors.

Application Process

Applications to volunteer will be available until July 15
All volunteers will be screened with a Washington State background check and notified of acceptance to volunteer by August 1
All counselors must complete a volunteer training at camp beginning at 1pm Sunday, August 19th immediately preceding the start of camp

Why do you want to volunteer at the ConnecT1D Family Camp? *

Contact Information

Volunteer Name *

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Birthdate *

(mm/dd/yyyy)

Age

Gender Identity

Emergency Contact Person

First Name

Last Name

Preferred Pronoun

Emergency Contact Email

Verify Email

Volunteer Phone # *

Emergency Contact Phone #

Volunteer Email *

Verify Email *

Volunteered at ConnecT1D Retreat or Camp before? *

Which years?

This will be my first year

2017

2016

2015

2014

2013

2012

Dietary Restrictions

Vegetarian

Celiac

Dairy Free

Nut Allergy

Other accommodations?

We will do our best to meet needs as event allows

Volunteer Roles

Camp Counselors work collaboratively to oversee campers (grades 6-8). Lodging and meals will be provided for counselors. Event Volunteers help with overall camp operations. Read more about Specific Camp Volunteer Jobs on our website.

What Type of Volunteering are you Interested in *

Check ALL that you'd be willing to do. Note, there are limited Event Volunteer Positions and a high need for Counselors.

Lead Counselor (18+, post HS grad)

Event Volunteer

Medical Staff

Diabetes Experience

Note: You do not need to have diabetes to be a volunteer. All counselor volunteers will be trained in diabetes safety and monitoring of campers.

If you have T1D, Diagnosis Date

(mm/dd/yyyy)

Years since T1D Diagnosis

If you do not have Type 1 Diabetes, what is your connection to T1D? (sibling, parent, friend)

Other Medical Issues we should be aware of at camp?

Registration Fees

There are no fees to attend Middle School Retreat as a volunteer. As an appreciation of your service we will provide group lodging, snacks, and meals.

Photo for Volunteer Directory *

To keep camp running smoothly and be able to easily identify camp staff as needed throughout the weekend, Camp Leadership will have a staff photo directory. Please upload a headshot with your application.

Camp Policy Agreement and Waivers

Please read our ConnecT1D Volunteer Policy & Waiver in entirety and accept below.

Policy & Waiver Agreement *

I agree to the policies and waiver listed above.

E-signature *

Background Check *

I understand that ConnecT1D will run a Washington State Background Check for all volunteer applicants

Yes

ConnecT1D social media, newsletters, and involvement

Have you attended a ConnecT1D Event before? If so, which ones?

I'm interested in

Receiving the ConnecT1D e-newsletter/updates on other programs

Volunteering at other ConnecT1D Events