SPECIAL CAMPS COUNSELOR REGISTRATION

(For High School + College Aged Volunteers).

2023 Waivers (complete application below and print / mail the waivers).

Special Camps is now accepting applications for it’s all volunteer, summer camp for kids + adults with intellectual disabilities. To apply you must have completed ninth grade by June, 2023 and be committed to spending 1 full week at camp.

Please complete the application below and then mail or scan and email the waivers back to Special Camps Winfield address at your earliest convenience, as many of our positions fill quickly.

We rent the White Pines Ranch in Oregon, IL. It is located about 30 minutes West of DeKalb. We encourage volunteers to carpool with others from your school, as parking is limited.

There will be three 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

Orientation and training will be held Sunday at the ranch before campers arrive.

We’ll treat our campers to an authentic dude ranch experience. We’ll go no trail rides with over 75 horses, swim, complete crafts, sports, archery, groom and paint horses, field games, yoga and more alongside our special needs campers. The dorm rooms are both air conditioned and carpeted.

As a camp counselor, you will be a best friend, teacher and coach to usually 2 campers with intellectual disabilities. A few campers also have physicals disabilities. Our campers are pretty independent in caring for their daily needs, but some need help with verbal directions on brushing teeth, or help tying their shoes. Needed are 85 camp counselors between the 3 weeks. It’s a very rewarding experience and an opportunity to make some great new friends. Returning camp counselors call this a “life changing experience”, they can’t wait to return.

Counselors get free time to hang out with our other extraordinary teen counselors directly after lunch and after 9pm. Adult supervision is provided.

Please feel free to call, email or text Colleen McDonald with any questions @ colleen.scamps@icloud.com / (63o)212-1565.

Name*
First Middle Last
Select All Camp Weeks You'd Be Available
- June 4 – 9 to be friend / coach to adult campers.
- June 11 – 16 to care for school aged campers.
- June 18 – 23 to be friend / coach to adult campers.
Please Note, our children's week fills up very quickly. Please mark all weeks available. Kids need some assistance. Our adult campers are independent, in need of a little guidance from a good friend.
Gender*
- Male
- Female
Date of Birth*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mobile Phone*
Best Email To Reach You*
Parents Name*
First Last
Parents Phone*
List 2 adults that can serve as a reference check for you. They should not be a relative. Examples might include a teacher, neighbor, activity leader, or coach. If listing a teacher please include an email.*
First Last
Their phone or email.*
Reference #2 (not a relative).*
First Last
Their phone or email.*
T-Shirt size*
- adult small
- adult medium
- adult large
- adult XL
- adult XXL
BACKGROUND CHECK
By completing this form, you consent to a background check to be performed. Anyone convicted of a felony or with a history of illegal drug use will be automatically disqualified from volunteering for Special Camps.
Drivers License Number (if 18 or over)
CONSENT TO BACKGROUND CHECK
- YES
by clicking the yes box to consent to background check, applicants 18 and older consent to having a background check performed.
Name of school attended
Current grade
List special skils
example: Boy scouts, Girl scouts, CPR training, Lifeguard Training, First Aid training, Multi-lingual, Sign Language, babysitting experience, etc.
Can you swim?
- yes
- no
Have you been a camp counselor before?
- yes
- no
Experience with people that have disabilities.
Would you like to ride horses at camp?
- yes
- no
Medical, Physical, or Psychological conditions
Please describe any medical, physical, or psychological conditions that might affect your ability to be a camp counselor in detail.
Prescriptions
Are you taking any prescribed or over the counter medications you would bring to camp? Please list them in detail.
Your reasons for applying*
Please explain in detail why you would like to be considered for a camp counselor position helping campers with disabilities.
Select the week you prefer*
- June 4 - 9 to be a friend/ coach to adult campers.
- June 11 - 16 with school aged campers.
- June 18- 23 to be a friend / coach to adult campers.
Please select which week(s) you are available to attend.
Transportation to camp*
- I will provide my own transportation to camp.
- I would like to drive with others from my school.
Sorry, Due to Covid there will be bus providing transportation. Carpooling is recommended as there is limited parking available.

SPECIAL CAMPS COUNSELOR REGISTRATION

BACKGROUND CHECK