| All applications must be received by Thursday, July 31, 2008. |
| Full Name |
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| Street Address |
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| City, State, ZIP |
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| Work Phone |
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| Home Phone |
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| Cell Phone |
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| E-mail Address (Please Make Sure You Do Not Have "TYPOs" In Your Address!) |
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| Place of Employment |
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| Position |
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Experience:
Have you been a volunteer at camp before?
Yes No
If yes, how many years? When?
Do you have a special license, certification or skills?
MD RN CPR/First Aid Water Safety
Play an Instrument Sing
Other |
More About You:
Please list any work, volunteer, educational experience, and/or background in which you have had direct contact in working with children.
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Why would you like to volunteer for Variety's Katerpillar Kids Camp?
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T-Shirt Size:
Adult S Adult M Adult L Adult XL
Adult 2XL Adult 3XL
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All applications must be completed in full and returned by Thursday, July 31, 2008 to:
Valerie Smith, Camp Director
Covenant HomeCare Hospice
3001 Lake Brook Boulevard, Suite 101
Knoxville, TN 37909
You may also fax your completed form to (865) 374-0636.
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If you have questions, please contact Valerie Smith, camp director, at (865) 374-0864 or email vsmith5@covhlth.com. Thank you for your interest in Katerpillar Kids Camp!
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