Adult Staff and Nurse Registration

Special Camps is now accepting applications for its all-volunteer Special Camps program for children and adults with intellectual disabilities. Staff members must be at least 22 years old by June of 2023. We look forward to meeting you and sharing this tremendously rewarding experience with you, as we (the volunteers) receive as much joy, laughter, and fulfillment as our campers.

Located approximately 30 minutes West of DeKalb, we rent the White Pines Ranch in Oregon, IL. It will be a lot of fun for everyone! The ranch offers exceptionally clean, dorm style camping.

We need adults to serve as volunteer cabin parents, activity leaders, and nurses. As a cabin parent/activity leader you will lead or assist your small group of special needs campers and volunteer teen counselors in activities during the day, and sleep in the dorm with us at night. Our nurses dispense relatively large quantities of medications, tend to minor injuries, and play alongside our campers. Nurses have their own separate living area. Activities consist of music, swimming, archery, sports, crafts, small critter petting, talent shows, horseback lead arounds, trail rides, yoga and woodworking. Evenings consist of a variety of fun entertainment and dancing. You do not need to have experience. All volunteers work together with experienced volunteers.

There are three camp sessions:

Session 1. Sunday – Friday, June 4 – 9 for adult campers
Session 2. Sunday – Friday, June 11 – 16 for school aged campers
Session 3. Sunday – Friday, June 18 – 23 for adult campers

Options for Staff Application Completion:

Option #1: Complete an application online + Mail or Email Waivers (Online application is available at the bottom of this page).
Option #2: Print the forms and mail it to our office (Download the here: 2023 STAFF APPLICATION)
Option #3: Call 630-690-0944 and have us send you an application.

* All Potential Staff must complete the application and the White Pines Ranch forms, even if you do not wish to ride a horse at camp.

Please give me a call if I can help answer any questions.

Colleen McDonald
President of Special Camps
26W684 Lindsey Avenue, Winfield, IL 60190
phone: 630-690-0944
colleen.scamps@icloud.com

FULL STAFF REGISTRATION FORMS

PRINT + MAIL WAIVERS

All staff must also complete the 2023 Covid-19 waiver which is available here: Special Camps COVID-19 Waivers 2023

Staff Application
Applicants must be 22 years old by, June 2023. By Completing this application you affirm under penalty of perjury that the answers to the questions in this form are truthful. You also consent for a criminal background check to be performed on you. Individuals who have ever been convicted of an offense involving the intentional infliction of physical injury upon a child, sexual abuse of a child or child abduction under the laws of this state or any other state, or any persons using illegal drugs are disqualified from volunteering for Special Camps.
Name*
First Middle Last
Please check your camp session availability. Volunteers working with our children require more energy + more care. Volunteers working with our adult campers are looking to make friends, requiring some supervision and reminders..
- June 4 - 9 for adult campers
- June 11 – 16 for school aged campers
- June 18 – 23 for adult campers
Check all that apply.
Date of Birth*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
T-Shirt Size*
- Small
- Medium
- Large
- XL
- 2X
- 3X
Email*
Driver's License #*
Home Phone*
Mobile Phone*
Emergency Contact + Relationship to you*
Emergency Contact Phone Number*
Position Preferred (all new volunteers will be paired up with experienced volunteers).*
- Nurse
- Activity Leader
- Cabin Parent
Can you swim?*
- Yes
- No
On a level of 1-5, rate your comfort and experience with horses*
- 1 - I would prefer not to ride horses at camp
- 2 - No experience and would like to learn
- 3 - Limited experience but not a trained rider
- 4 - Have ridden and am comfortable with horses
- 5 - I am a trained rider
List any special skills or training
examples: - Sign language - Multi-lingual - First aid - Life guard / Water Rescue - E.M.T./Paramedic - Registered Nurse - I've attended Special Camps before
Experience with individuals who have Special Needs*
Describe your experience helping individuals who have special needs.
Personal Health
Please describe any physical, mental, or medical concerns that may effect you during camp. ie: Diabetic, back pain or other physical concerns effecting physical maneuverability, depression or other mental health conditions, etc.
List any prescription or over the counter medication you would bring to camp
Please indicate your preferred camp session*
- June 4 - 9 | A larger Adult Camp
- June 11 - 16 | Youth Camp
- June 18 - 23 A Smaller Adult Camp
Personal Reference. Name 1 person whom we may contact that knows you well. Not a relative.
Reference 1 Phone#
NOT RELATED - reference name 2
Reference 2 Phone#
Camp Waiver
Thank you for completing the online portion of the Staff Application. Please complete the “Print and Mail” portion of the camp application. Once both forms are returned, you will be considered for camp. The forms can be mailed to our office at 26W684 Lindsey Avenue, Winfield, IL 60190 or scanned and emailed to colleen.scamps@icloud.com

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Adult Staff and Nurse Registration

Staff Application

Camp Waiver