The Valerie Fund's Camp Happy Times
Medical Staff Application
2018 Dates: August 14th-19th Application Deadline: April 15th
Camp Happy Times Volunteer Information - Medical Staff
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
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 Sunday, August 12th, 2018 by 10:00am.
Respond to application deadlines.
Completed applications must be returned by April 15, 2018.
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
Questions? Contact our Camp Leader 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.
Volunteer Terms Agreement
I understand and agree that Camp Happy Times, The Valerie Fund and all of their agents, representative and employees (paid or volunteer) shall have permission to use my name and image in print or on film for any advertisement or promotion.
I understand and agree that Camp Happy Times, The Valerie Fund and all of their agents, representative and employees (paid or volunteer) accept no responsibility for the loss, damage or theft of my property.
I herby authorize The Valerie Fund and Camp Happy Times to obtain information, along with a background check, it deems desirable in the processing of my application including civil, criminal, employment, police and vehicle records and other relevant information, and release The Valerie Fund's Camp Happy Times, it's employees, volunteers, and agents from all liability for any damage whatsoever incurred in furnishing or obtaining such information. The application hereby waives any claim for damages by reason of non-acceptance of this application, which The Valerie Fund's Camp Happy Times may reject.
I understand and agree that certain activities at Camp Happy Times have an increase risk of injury. I assume full responsibility for my safety. I agree to release and indemnify Camp Happy Times, the Valerie Fund and all of their agents, representative and employees (paid or volunteer), from any injuries, losses, claims, costs, expenses, and/or damages.
I understand and agree that I am to arrive at camp at the specified time and to remain through the end of the session. I also agree not to leave the campsite for all and any portion of the session without permission from the Camp Happy Times Director.
I understand and agree that I am obligated, under Federal Law, to keep all information regarding campers of Camp Happy Times confidential.
I understand and agree that absolutely no alcoholic beverages, firearms, or illegal and unauthorized drugs will be allowed on the grounds of Camp Happy Times. Including, but not limited to: storage, consumption, sale or any other use.
I understand that this application does not create any guarantee of acceptance as a volunteer or creates any obligation, contractual or otherwise, on the part of Camp Happy Times or The Valerie Fund.
Lack of adherence to these terms will result in disciplinary action, up
into and including dismissal from the program.
Volunteer Conduct Guidelines
In a continuing effort to offer campers the best week possible with the most memorable outcomes, rules should be understood and agreed to by the counselor before attending Camp Happy Times. While situations are not anticipated, these guidelines are simply a way to provide a safeguard for you, our campers and CHT. Volunteers must sign below in order to participate in Camp Happy Times.
Volunteers are expected to remain with their assigned group/campers at all times and actively participate in each assignment/activity. The safety and comfort of the campers is the number one priority at Camp Happy Times.
No volunteer or staff member may inappropriately touch, or emotionally abuse, or in any way embarrass, demean or degrade a camper for any reason.
Volunteers may not, under any circumstances, leave camp grounds without express permission from the Director of Camp Happy Times.
Volunteer relationships may not interfere with any camp responsibilities. Volunteers may never become intimate while at Camp Happy Times.
Relationships with campers should be friendly and supportive. Romantic, intimate, suggestive or sexual relationships with campers are unacceptable and will not be tolerated.
Volunteers are to abide by common standards of civility including dress and behavior.
With the exception of medical or administrative staff, volunteers may not enter the living quarters of members of the opposite sex without permission.
All medications (including over-the-counter) must be given to the medical staff for the duration of camp.
Volunteers must respect the camp grounds. Littering or defacing camp property is not permitted. Volunteers should actively participate in keeping the camp grounds and their cabins clean.
Swimming is not permitted unless under the direction of a Tyler Hill lifeguard. Lifejackets must be worn for all water sport activities
Cell phone use is prohibited while involved in camp activities or in the proximity of campers. In the event that a volunteer needs to use their cell phone, the camp office is available
NOTE: Any conduct not specifically covered by this code list but deemed inappropriate by those responsible for Camp Happy Times will be viewed as a violation and appropriate action will be taken.
I have read and understand the “Camp Happy Times Volunteer Conduct Guidelines” and I agree to abide by their standards. I am aware of the consequences for any violation committed on my behalf. I understand that if I violate any of these policies, I will be asked to leave Camp Happy Times, and I herby agree that I will leave Camp Happy Times promptly upon receipt of such request. I understand and agree that I will not be invited to return as a volunteer in the event that such violation has occurred.
The Valerie Fund
2101 Millburn Avenue
Maplewood, NJ 07040