Camp Janus Volunteer Application

Application Deadline:
Monday, April 1, 2019

Please provide the following information about yourself
Full legal name *
Full legal name
Please provide your name as it appears on your Driver's License
Birthday *
Address *
Phone number *
Phone number
If possible, I prefer Camp Janus contact me with camp information by:
T-shirt size
Please check your t-shirt size. We will try to accommodate your choice.
I prefer to work with the following age group(s) *
(choose all that apply)
Include experience working with children, and talents you can contribute to camp.
Please list 2 references:
Reference 1 *
Reference 1
Reference 1 phone number *
Reference 1 phone number
Reference 2 *
Reference 2
Reference 2 phone number *
Reference 2 phone number
I UNDERSTAND THAT BY SUBMITTING THIS FORM, I agree to attend ALL FOUR days of Camp Janus Thursday, May 23 through Sunday, May 26, 2019 and that I will be required to attend a MANDATORY COUNSELOR TRAINING SESSION on Saturday, May 4, 2019 from 10 am - 3 pm (at Shriners Hospital for Children - 6977 Main Street, Houston, TX).
By submitting this form I hereby authorize Camp Janus and its staff to conduct a security background check on me. I understand that this security check may cover information such as criminal history. I understand that this information is gathered in an effort to promote and protect the safety of the campers at Camp Janus. I hereby release Camp Janus and its staff from all liability resulting from the furnishing of this information. I certify that the statements made by me on this application are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. I understand that any false statements made herein could void my consideration as a Camp Janus volunteer.
ENROLLMENT IS LIMITED. The selection for Camp Janus 2019 volunteers is left solely to the discretion of the Camp Janus board of Directors. Volunteers that are accepted will be notified 2-3 weeks following the deciding Board Meeting.