Thank you for your interest in becoming a volunteer with Camp Red Jacket at Lehigh Valley Health Network. When you complete the application form, click the submit button at the bottom.
Please provide your complete name and address
***Please use a reliable email address. Correspondence will be sent to you via email frequently.***
Please enter the names of two NON-FAMILY references along with their phone number.
Please provide the following information. Your age determines the requirements and clearances to volunteer at camp. Other information is only used to help us get a better idea of the demographic make-up of our volunteers.
What is your age on the first day of camp?
Why do you want to volunteer with Camp Red Jacket?
Have you ever been CONVICTED of a misdemeanor or felony? Yes or No
If yes, please explain
Have you had the following diseases: Mumps, Rubella, Polio, Measles, Chicken Pox, tuberculosis? If you are 26 and under, you must have your medical provider fill out the Volunteer Health Certification Form provided in your packet of paperwork.
Please give us information on who we can contact in case of an emergency while you are at camp.
I understand there are additional requirements necessary to be a LVHN Camp Red Jacket Counsellor. I will complete the required TB testing, obtain necessary clearances as instructed, paperwork and attend Camp Red Jacket orientation on or before the required deadlines.