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Programs and Services

Application for Medical Staff

The Valerie Fund's Camp Happy Times
Medical Staff Application

2017 Dates: August 14th-20th Application Deadline: April 15th

Camp Happy Times Volunteer Information - Medical Staff

Eligibility
It is the policy of Camp Happy Times that each participant must meet the defined eligibility criteria. Administration, Counselors and Medical staff should be knowledgeable of and understand all eligibility criteria required for their participation in the Camp Happy Times.

Staff Eligibility Requirements

  • Be licensed or have had applied for a Pennsylvania Medical License as a Registered Nurse, Resident, Nurse Practitioner or Physician
  • Adhere to all Camp Happy Times Policies and Procedures
  • Be willing to communicate with fellow counselors and staff effectively
  • Complete the screening procedure successfully
  • Agree to attend the counselor trainings as required
  • Have no prior criminal record

Time Commitment

  • Respond promptly to any correspondence relating to Camp Happy Times, pre and post.
  • Arrive on time for scheduled Camp Happy Times events. Counselors/Staff are scheduled to arrive on Monday, August 14th, 2017 by 10:00am.
  • Respond to application deadlines.
  • Orientation: Staff Development will take place Sunday, July 16th, 2017 at 10 AM – 4pm. New counselors are required to attend. Returning Counselors/Staff are required to attend orientation at minimum every two years.

Application

  • Completed applications must be returned by April 15, 2017.
  • Provide a photo copy of the following with a completed application:
  • Health Care Coverage – Front and Back Copy
  • Driver’s License or State Issued Identification Card
  • Valid Pennsylvania Medical License and Malpractice Insurance or Copy of application

Camp Happy Times
2101 Millburn Avenue
Maplewood, NJ 07040
Fax to: 973-761-6792 Attn: Camp Happy Times 
Scan and Email to: mruttler@thevaleriefund.org

Questions?  Contact one of our Camp Leaders Millie Finkel ( ) or Matthew Ruttler ( ) if you have any questions

Personal and Medical Information

All medical information is maintained under the supervision of the Infirmary Medical Supervisor, Camp Happy Times, and is protected by Federal Confidentiality Laws.

Please complete ALL current information on this page.

Application Form
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I affirm that all information provided is accurate and true. I understand that any falsification of any information will immediately terminate my application and further opportunities with The Valerie Fund and Camp Happy Times.

I acknowledge that The Valerie Fund and Camp Happy Times will require a background check as a process for this application.

In the event of a medical or surgical emergency, I hereby authorize the Licensed Medical Staff at Camp Happy Times to render to me or arrange for me to receive any and all treatment deemed advisable by them and to be rendered under the supervision of medical personnel. I also understand that I am responsible for any cost incurred for such treatment that any existing insurance may not cover.


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Medical Information

All medical information is maintained under the supervision of the Infirmary Medical Supervisor, Camp Happy Times, and is protected by Federal Confidentiality Laws.

A value is required.
A value is required.
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Do you agree to the Volunteer Terms Agreement?
Do you agree to the Volunteer Conduct Guidelines?
You MUST sign and date your application.

Upcoming Events

Nov
17
Thanksgiving Ball Gala REGISTER NOW
Dec
9
The Justin Gimelstob Children's Fund - Tennis Exhibition REGISTER NOW
Oct
8
Rook Run (and walk) REGISTER NOW

To Donate Today:
973-761-0422

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