Camp Nurse Application
For registered nurses who would like to stay at camp for the entire week, a couple days, or just help out for a day/half day to experience Camp HIS KIDS.
NOTE: Application is not complete until you click the "submit" button at the bottom of this application.
How would you like your name to appear on your camp name tag?
In which state/s do you hold a current nursing license?
Please indicate below which day/s and times you can be at camp. Our camp days typically begin around 7:30am and last until evening activities are finished around 8:30pm, but you do not have to stay the entire time.
How many years, if any, have you previously volunteered at Camp HIS KIDS?
The Camp HIS KIDS cell phone policy is that we do not allow volunteers, staff, campers, or LITs to use cell phones or other electronic devices while at camp for the safety and security of our campers and staff. Because of medical needs, nurses and other medical staff will be able to use their cell phones for camper medical purposes. However, reception is spotty on some areas of the camp. If you need to be reached for emergency purposes, please give your contacts the HIS KIDS cell phone number: 618-654-4020
Are you able to abide by the HIS KIDS cell phone usage policies for nurses while on-site at camp? If no, please explain below.
Please upload a copy/photo of your most recent CPR certification and driver's license/state ID.
Please upload a copy/photo of your COVID-19 vaccination card/s.
In order to provide a safe and secure environment for those children and youth who participate in our programs, this form is to be completed by all applicants involved in the supervision or custody of minors (ages 18 and under). We have profound legal and moral obligations to reduce the possibility of child abuse from ever occurring. Adults who have been convicted of either child sexual or physical abuse should not volunteer service in any HIS KIDS sponsored activity or program for children or youth. The information obtained through this application will remain confidential and only be seen by personnel needing to review this record for the HIS KIDS program or in the case of a legal investigation.
I verify that the information provided on this application is correct to the best of my knowledge.
Thanks for submitting! We will be in contact with you in the coming weeks with next steps.