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Amazing Grace Volunteer Application 2015
Return to:
Amazing Grace of Cape Cod, Inc.
P. O. Box 636
Centerville, MA 02632
Thank you for volunteering to help Amazing Grace provide a camping opportunity for children living
on the Cape and the South Shore whose parents are, or have been incarcerated. This week long
residential summer camp experience at the YMCA’s Camp Burgess in Sandwich will be held
Sunday, August 23rd to Friday, August 28th.
All types of volunteers are needed before and during the camp to create a wonderful experience for the
children. Please provide the information below to help us find the right volunteer opportunity for you.
About you
Name:
Email address:
Mailing Address:
City/Zip
Home phone
Work phone
Cell phone
Affiliation (if any): Church, business, organization, etc.
When are you available?
The camp will run from August 23-28. Volunteers working directly with the children will need
training on maintaining a safe environment for the campers, mandatory pre-camp orientation on Sun.
May 31st 2 pm – 6 pm, and working with the other members of the team. Protocol orientation to the
camp is mandatory for all on-site volunteers and will be on Sunday, August 23rd.
We also need volunteers for planning, development, and set-up before camp.
I am available: ☐ All week August 23-28 OR ☐Sunday 8/23 ☐Monday 8/24 ☐Tuesday 8/25
☐Wednesday 8/26 ☐Thursday 8/27 ☐Friday 8/28 [check as many as you are available]
Times available during camp: : ☐All day ☐Morning ☐ Afternoon ☐ Evening ☐ Overnight
☐Before camp I am generally available: ☐ Days ☐Evenings ☐Weekends
Comments about availability
Skills, gifts and callings
Based on your training, skills, experience and passions, and on the needs of Amazing Grace, what do
you feel called to contribute as a volunteer? Put a check mark next to your interests, and give a little of
your background.
Need
Mentors
Arts & crafts (specify)
Interested
Skill Level: A = Teach B = Experienced C= Little or none / Comment

☐A
☐B
☐C
Waterfront (swimming, etc.)
☐A
☐B
☐C
Photography
☐A
☐B
☐C
Star gazing
☐A
☐B
☐C
Need
Nature walks
Interested
Skill Level: A = Teach B = Experienced C= Little or none / Comment
☐A
☐B
☐C
Rock climbing
☐A
☐B
☐C
Ropes courses
☐A
☐B
☐C
Leading camp songs
☐A
☐B
☐C
Camp nurse
☐A
☐B
☐C
Therapist, counselor
☐A
☐B
☐C
Other (specify)
☐A
☐B
☐C
Chaperones during daytime programs

☐A
☐B
☐C
Overnight chaperone

☐A
☐B
☐C
Being a listener/comforter

☐A
☐B
☐C
Talk with prospective camper/parents

☐A
☐B
☐C
Other (specify)

☐A
☐B
☐C
Trainer (training volunteers on dealing
with children incarcerated, community
building, song leading, camp games)
Administrative skills (write letters, help
with registration)
Data management skills (e.g. maintain
volunteer database)
Run-around (pick up supplies, take items
to printer)
Representing Amazing Grace at church or
organization (make a presentation, staff a
table, collect contributions)
Graphic arts (prepare posters, brochures,
forms)
Other (specify)

☐A
☐B
☐C

☐A
☐B
☐C

☐A
☐B
☐C

☐A
☐B
☐C
☐A
☐B
☐C

☐A
☐B
☐C

☐A
☐B
☐C
Other (specify)

☐A
☐B
☐C

Further information on your skills, experiences:
Background check
All volunteers who are working with the children will undergo a Criminal Offender Record Information
(CORI) and Sex Offender Record Information (SORI) check. Please complete the information on the
attached forms to allow Amazing Grace of Cape Cod, Inc. to conduct the check with the Commonwealth
of Massachusetts. The CORI form must be signed in the presence of an Amazing Grace agent to verify
the acknowledgement.
Thank you for your desire to bring your gifts and talents to make this year’s camp experience a success!