Once we receive a completed application you will be contacted to arrange for an interview with the Camp Director.

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1 Penn Wissahickon Hospice 150 Monument Road, Suite 300 Phone: Dear Prospective Camp Erin Philadelphia Volunteer, Thank you for your interest in coming to Camp Erin Philadelphia 2018! The Camp will be held June 8-10, 2018, at Camp Kweebec in Schwenksville, PA. There will be two (2) required trainings for new volunteers April 21, 2018 and May 12, The Preview Party will be held on Saturday, June 2, 2018, at Camp Kweebec and is mandatory for all lead roles. Please make sure that you are available to attend all dates required for your desired role. Enclosed you will find the following forms Camp Erin 2018 New Volunteer Application Volunteer Recommendation Forms (2 are needed for each volunteer. These can be personal, or professional as long as they are not related to you). Volunteer Job Descriptions Please return the application by January 31, Once we receive a completed application you will be contacted to arrange for an interview with the Camp Director. Please let us know if you have any questions. Thank you again for your interest in joining us! Sincerely, Eric Trumbower, Camp Director & Sarah Abramovitz, Clinical Camp Director Phone: (610) Phone: (610) Eric.Trumbower@uphs.upenn.edu Sarah.Abramovitz@uphs.upenn.edu

2 Penn Wissahickon Hospice 150 Monument Road, Suite300 Phone: Philadelphia New Volunteer Application 2018 Part I: Information Last Name: First Name: Preferred Name: Street Address: City: State: Zip: Home #: Cell #: Work #: Date of Birth: Emergency Contact: Relationship: Cell #: Work #: Ethnicity: Check all that apply Military Affiliation: Check all that apply American Indian/Alaskan Native Asian Native Hawaiian/Other Pacific Islander Caucasian Air Force Army Coast Guard Marine Corps Navy Latino/Hispanic African American Other: Active Duty Reserve & Guard Forces Veterans & Retirees Family Member Penn Affiliation: Check all that apply Have you volunteered at any other Camp Erin Location? Do you drive? Undergrad Student Graduate Student University Employee Health System Employee Location: *If you drive, we will require a copy of your current driver s license and auto insurance Have you ever been convicted of or pled guilty or nolo contender to a felony or misdemeanor? Are you currently Employed? If you are a Health System Employee, please list your entity and Department. Entity: Department: T-Shirt Size (All volunteers receive 2 shirts with option to buy a 3rd) Retired S M L Full Time Part Time Per Diem XL XXL XXXL Current Employer: Current Occupation: If yes, please explain:

3 Physical Restrictions: Please explain any Yes answers from above: Part II: Physical and Psychosocial Dietary Restrictions: Allergies: Have you experienced the death of a loved one in the last year? Please list your loss history. Include Relationship to the deceased, date of death and cause of death. Do you have any personal or work experience involving the following? Please explain any answers from above: Children Camp Bereavement Terminal Illness Counseling/Therapy Do you have any previous volunteer experience (in any capacity)? Please explain : How did you hear about Camp Erin-Philadelphia? Referral by Camp Community Presentation Staff/Volunteer: VolunteerMatch.com Penn Medicine Newsletter Newspaper Article HBO Documentary- One Last Hug Other:

4 Why do you wish to volunteer at Camp Erin Philadelphia? Please explain : Part III: Camp Role Please rank your top 3 choices, with 1 as your most desired role. We will make every effort to give you your first choice. Cabin Buddy Assistant Performing Arts Committee Visual Arts Committee Entertainment & Games Committee Grief Chief* Must be Mental Health Professional Multimedia Committee Planning & Organizing Committee Rituals Committee Snacks & Comfort Care Committee Pre-Camp Support Only Check here if you are interested in being a lead For Cabin Buddy Assistants and Grief Chiefs Only: Preferred Age: Preferred Gender: Are you able to attend the entire weekend, Friday through Sunday, including sleeping over? Are there any activities you would like to see at Camp? Please explain : Penn Wissahickon Hospice does not discriminate against any person on the basis of race, color, national origin, creed, religion disability, marital status, sexual orientation, veteran status, or age in admission, treatment, or participation in its programs, services and activities, or employment. Although we attempt to place every volunteer, we reserve the right to reject a volunteer candidate based on other criteria. Signature: Date:

5 Penn Wissahickon Hospice 150 Monument Road, Suite300 Phone: Camp Erin - Philadelphia Volunteer Reference Form This reference should be mailed or faxed directly from the referral source. Please know that your comments will be kept confidential. has applied to become a volunteer for Camp Erin- Philadelphia, a grief support camp for children sponsored by Penn Wissahickon Hospice. Camp Erin-Philadelphia is a weekend overnight camp designed for children and teens (ages 6-17) that have experienced the death of a significant person (s) in their life. It is a traditional, high energy, fun filled camp coupled with grief support and education. The wellbeing of our campers is of primary importance to us. Therefore, we are selective in identifying potential volunteers to staff our camp. We carefully screen all applicants, and would appreciate your help in this process. Please help us to know the applicant better as we consider his/her application to our program. How long have you known the applicant? What is your relationship to the applicant? Have you observed the applicant with children? If so, please describe your observations: If you have not observed them directly, do you believe the applicant possesses the ability to work well with children? Unsure Comments/Examples: Do you believe the applicant exhibits compassion with others? Unsure Comments/Examples:

6 Do you believe the applicant is dependable and reliable? Unsure Comments/Examples: Do you have any reservations or concerns about recommending this applicant as a volunteer at a bereavement camp for grieving children? If so, please explain further: Please add any other information you believe we should know about the character and skills of this applicant: Name Address Phone Thank you for your assistance. Please return this form by February 15,, 2018 to: Volunteer Service Department 150 Monument Road, Suite 300 Phone:

7 Penn Wissahickon Hospice 150 Monument Road, Suite300 Phone: Camp Erin - Philadelphia Volunteer Reference Form This reference should be mailed or faxed directly from the referral source. Please know that your comments will be kept confidential. has applied to become a volunteer for Camp Erin- Philadelphia, a grief support camp for children sponsored by Penn Wissahickon Hospice. Camp Erin-Philadelphia is a weekend overnight camp designed for children and teens (ages 6-17) that have experienced the death of a significant person (s) in their life. It is a traditional, high energy, fun filled camp coupled with grief support and education. The wellbeing of our campers is of primary importance to us. Therefore, we are selective in identifying potential volunteers to staff our camp. We carefully screen all applicants, and would appreciate your help in this process. Please help us to know the applicant better as we consider his/her application to our program. How long have you known the applicant? What is your relationship to the applicant? Have you observed the applicant with children? If so, please describe your observations: If you have not observed them directly, do you believe the applicant possesses the ability to work well with children? Unsure Comments/Examples: Do you believe the applicant exhibits compassion with others? Unsure

8 Comments/Examples: Do you believe the applicant is dependable and reliable? Unsure Comments/Examples: Do you have any reservations or concerns about recommending this applicant as a volunteer at a bereavement camp for grieving children? If so, please explain further: Please add any other information you believe we should know about the character and skills of this applicant: Name Address Phone Thank you for your assistance. Please return this form by February 15,, 2018 to: Volunteer Service Department 150 Monument Road, Suite 300 Phone:

9 Penn Wissahickon Hospice 150 Monument Road, Suite300 Phone: Camp Erin Job Descriptions Camp Erin offers numerous opportunities to make a difference in the life of a grieving child. The Camp Erin experience is full of vitality with creative activities, games, new friendships, and quiet moments to remember. It is both fun and intensely meaningful. To make it all happen, we need a village of big-hearted volunteers. There are some volunteers that may serve on more than 1 committee. Please join us! Cabin Buddy Assistant This role is designed for individuals who have not served in a supportive role in a single cabin before. During your first year supporting a cabin, you are expected to take a backseat approach to working with the campers. You will support the Cabin Buddies with general care and supervision of the campers. Cabin Buddy Assistants sleep over at the Camp in volunteer quarters. (In the cabin w/ campers when deemed appropriate). Accompany campers to activities and meals as an added support to the Cabin Buddies and Cabin Leads. Assist Cabin Buddies and activity Committees during various programs. Provide coverage during Cabin Buddy breaks. Apprise campers of Camp Erin rules and enforce Camp rules as needed. Help maintain a physically and emotionally safe environment for campers. Experience working closely with children and/or teens. Ability to develop warm and nurturing bonds with children at the Camp. Ability and comfort level setting boundaries with campers to maintain appropriate order and safety. Sense of humor. Ability to work effectively as part of a team. Entertainment & Games Committee Members of this committee work closely with a Committee Lead to coordinate various activities that are age appropriate throughout the weekend. This can include sports, games and evening events. The committee will meet prior to the start of camp to organize each of these events. The committee is responsible for ensuring supplies for each event are obtained prior to camp and managing supplies after camp. Pre-camp planning meeting with the Committee Lead to determine all activities planned including indoor activities in case of rain. Run camper activities camp weekend. Help maintain a physically and emotionally safe environment for campers. Experience working closely with children and/or teens. Experience in coaching, scouting, and or camp counseling. Teaching/Instruction skills. Sense of humor. Ability to work effectively as part of a team.

10 Grief Chief The Grief Chief functions within the cabin as a counterpart to the Cabin Lead. The primary focus of the Grief Chief is psychosocial support for the campers. There is a Grief Chief assigned to each cabin. The Grief Chief facilitates Circle Time and reports back to Clinical Camp Director about each camper. Specific training in counseling or related field is required. Accompany campers to activities and meals as an added support to the Cabin Buddies. Assist activity committees during programming throughout the weekend. Apprise campers of Camp Erin rules and enforce Camp rules as needed. Help maintain a physically and emotionally safe environment for campers. Report to Clinical Camp Director on each camper and how they are processing their grief. Provide written description of each camper at end of camp to aid in connecting the camper with the appropriate level of continued grief support after camp. Master s Degree or higher in counseling or related field mandatory Experience working closely with children and/or teens. Ability to develop warm and nurturing bonds with children at the Camp. Ability and comfort level setting boundaries with campers to maintain appropriate order and safety. Ability to provide support to cabin buddies in supporting campers. Sense of humor. Ability to work effectively as part of a team. Multimedia Committee The Multimedia Committee is responsible for the photography, videography, and cinematography taken and created for camp. Members of this committee work closely with a Committee Lead to capture all relevant moments of camp. Their focus will be to highlight all activities the campers and volunteers participate in while respecting boundaries and not interfering with ceremonies, cabin time, or other grief coping moments. Committee members will be required to supply and utilize their own equipment including telephoto capabilities. Overnight stay is optional, however, members must have availability to meet with Committee Lead at start and end of each day. Responsibilities include but not limited to: Photograph and capture video of participants at camp events including preview party and camp weekend. Photograph planned group pictures. Photograph campers and volunteers for identification and security Take video of events. Support creation of slideshow for parents on Sunday. Support audio/video setup and take down. Escort visiting photographers on camp property. Ability to walk up to 5 miles daily on un-even/rough terrain while carrying necessary equipment Special Skills and Requirements: Experience in photography and/or videography. Must have own digital photography/videography equipment. Must be able to digitally provide images and videos during the events to Committee Lead. Committee Roles: Lead, Photographers (minimum 3), videographer (optional), media operations chief.

11 Performing Arts Committee Members work closely with a Committee Lead to support cabins in the creation of a skit/song/dance or performance for the Showcase (talent show). Members also facilitate the creation of the Camp Song. Members support campers in their grief journey by providing examples of other outlets or means by which to cope with their loss. Pre-Camp; confer with assigned Performing Arts Lead to prepare camp activities and roles. Assist Coordinator with set-up and take down of supplies and equipment. Help ensure materials are secure at the camp. Help maintain a physically and emotionally safe environment for campers Background in theater or music a plus Creativity. Basic understanding of grief processing and coping. Ability to work effectively as part of a team Planning & Organizing Committee The Planning and Organizing Committee is responsible for the logistics for camp. Planning and Organizing will be responsible for such things as scheduling, communication among staff and volunteers at camp, facility set up (tables/chairs/memory board), parking, weather-related back up plans, emergency protocol and transportation. Overnight stay at Camp in volunteer quarters is optional. Responsibilities are varied within the committee, but may include: Attend all trainings and preview party. Organize and execute a rain plan for camp Ensure all Cabin Leads and Committee Leads have been communicated to regarding schedule changes. During camp set up ensure that all cabins have supplies needed for the weekend. Help coordinate movers and equipment drop off and pick up. Help maintain a physically and emotionally safe environment for campers. Strong organizational skills. Strong problem solving skills. Flexibility. Works well under pressure. Ability to work effectively as part of a team. Rituals Committee The Rituals Committee works with the Rituals Facilitator to plan and implement Camp Erin ritual activities (Opening/Closing Ceremony, Memory Board Ceremony, and Luminary Ceremony). The Committee will be meeting prior to the start of Camp to plan and organize each of these events. This committee will also be responsible for ensuring supplies for each event are obtained prior to camp and managing supplies after the event. Pre-camp planning with the Committee Coordinator. Stage the ceremonies. Help maintain a physically and emotionally safe environment for campers. Experience in bereavement.

12 Strong organizational skills. An appreciation for the role of rituals in healing. Ability to work effectively as part of a team. Snacks & Comfort Care Committee The Snacks & Comfort Committee will support staff and volunteer s through-out the weekend by maintaining the Relaxation Station for breaks. This Committee will work together pre-camp to plan snack and beverage distribution to the campers as well as the comfort items to go home with the campers. Pre-camp planning with the Committee Lead. Secure items for, and pack camper comfort bags. Help maintain a physically and emotionally safe environment for campers. Strong organizational skills. Ability to work effectively as part of a team. Visual Arts Committee: Members work closely with Visual Arts Lead to plan and implement an art project for the campers and parents & Guardians. It can be the same art project for all ages and genders, or it can be different projects. The project is intended to be taken home by the individual at the close of camp. The art projects should be designed as an opportunity to explore the Arts as a tool for coping with loss, not necessarily as a therapeutic tool in and of itself. Pre-Camp; confer with assigned Visual Arts Lead to prepare camp activities and roles. Arrive at scheduled workshops in a timely manner. Assist Lead with set-up and take down of art supplies and equipment. Help ensure materials are secure at the camp. Help maintain a physically and emotionally safe environment for campers Background in visual arts a plus. Creativity. Basic understanding of grief processing and coping. Ability to work effectively as part of a team.

Please let us know if you have any questions. Thank you again for your interest in joining us!

Please let us know if you have any questions. Thank you again for your interest in joining us! Penn Wissahickon Hospice 150 Monument Road, Suite300 Bala Cynwyd, PA 19004 Phone: 610-617-2400 CampErinPhila@uphs.upenn.edu www.pennmedicine.org/camperin Dear Camp Erin Philadelphia Volunteer, Thank you

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