WSA 2008 NATIONAL CONVENTION
VOLUNTEER APPLICATION FORM

Please fill in the appropriate fields below and pick "Submit" to send the form. You can close the window after the form is sent. Thank You for your cooperation.

VOLUNTEER OPPORTUNITIES:

WSA 2008 NATIONAL CONVENTION: DARE TO DREAM Wednesday, July 9 to Sunday, July 13 2008

Infant & Toddler Daycarevolunteers must be at least 13 years old


Infants and young children with Williams syndrome and their siblings through age 4 will be entertained at the hotel in 3 meeting rooms that afford them both privacy and proximity to parents if needed. We have room for everything from cribs to Little Tykes play equipment, and will be bringing in daily entertainers such as storytellers, music therapists, clowns etc. to help insure that all the kids have a great time.

 

As a volunteer you will serve as a caregiver.  Our ratio of children to caregivers will be 3 to 1 in this program.  The program will be lead by Linda Mohney, who is an Occupation Therapist.  Linda works in an early intervention program at a local public school and has a nephew with Williams syndrome.  

 

I am willing to volunteer….

 

   1 half day                                  2 half days                                   3 half days                  4 half days                  5 half days

   1 full day                                   2 full days                     3 full days                     4 full days

 

I am available……

 

   In-house Childcare (Wednesday July 9th  )

   In-house Childcare (Thursday July 10th  )

   In-house Childcare (Friday July 11th  )

   In-house Childcare (Saturday July 12th  )

   In-house Childcare (Sunday July 13th  )

 

 

Comments:     

 

 

 


School Age Programvolunteers must be at least 16 years old


Children ages 6 - 12 with WS and their siblings will participate in a program that will combine indoor and outdoor activities at the hotel with field trips to local attractions. An abbreviated program (in-house only) will be run on Wed and Sunday. The complete program will be run on Thursday - Saturday. This program requires staffing at a 3 or 4 to 1 ratio. Volunteers may sign up for morning(s); afternoon(s); or full day(s)

I am available and willing to volunteer….

Wednesday July 9th Morning Afternoon All Day
Thursday July 10th Morning Afternoon All Day
Friday July 11th Morning Afternoon All Day
Saturday July 12th Morning Afternoon All Day
Sunday July 13th Morning Afternoon All Day

Comments:     


Teen Programvolunteers must be at least 18 years old


All teens in attendance are welcome to participate in the teen program which will be open on Thursday thru Sunday at noon. Teens will leave the hotel each day for various off-site excursions. Volunteers must be able to provide a full day(s) of volunteer service (8 AM - 4:40 PM). Lunch, transportation and event tickets will be provided for all volunteers.


As a volunteer mentor you will accompany teens on field trips and will be responsible for assisting 4 to 5 teens as needed.


I am willing to volunteer...

 

1 full day
2 full days
3 full days
4 full days

 

I am available....

 

   Teen Program   (Thursday July 10th )

   Teen Program   (Friday July 11th )

   Teen Program   (Saturday July 12th )

   Teen Program   (Sunday July 13th )

 

Comments:     

 

 

Dream Team Activities volunteers must be at least 21 years old.


All adults with WS in attendance will divide their time between sessions at the hotel and local excursions. Volunteers are needed whenever the group is offsite. Volunteers must be able to provide a full day(s) of volunteer service (8 AM - 4:40 PM). Lunch, transportation and event tickets will be provided for all volunteers.

 

I am willing to volunteer...

 

1 full day
2 full days
3 full days
4 full days

 

 

I am available……

 

   WS Adult “Dream Team” Program  (Thursday July 10th )

   WS Adult “Dream Team” Program (Friday, July 11th )

   WS Adult “Dream Team” Program (Saturday, July 12th )

   WS Adult “Dream Team” Program (Sunday, July 13th )

 

Comments:     

 

 

PERSONAL INFORMATION

Name:

Address:

City:

State:

Zip Code:

Country:

Date of Birth:

Home Phone:

School/Work Phone:

E-mail address*:

* Please let us know if you do not check email regularly as it is our preferred contact method.

 

How did you here about this volunteer opportunity?   

 

EDUCATIONAL/CAMP EXPERIENCE INFORMATION

 
Education/Work history:

 
School last attended:

 

Degree & Date received:

 
Please tell us about your prior experience working with students with special needs?:

 

Please list previous camp experience (disabilities camps or otherwise).

 

Please give a brief description on what you expect to gain from this experience.

Yes / No   Do you have CPR or Water Safety certification?

REFERENCES

List 3 references; include name, address, and phone

Reference 1:

 
Reference 2:

 
Reference 3:

AVAILABILITY

What are the best days and times for us to contact you by phone?

  I agree that the information provided is accurate and truthful.

Note: You can close this window after the form is sent (it will not close automatically).