Camp Counselor Application

Our camp counselors are unique and we are grateful to everyone who has given their time and talent to create memorable moments for our campers. Because our counselors are living with limb loss or limb difference, they bring a true understanding of what others may be grappling with, whether it is physical, mental, or emotional. Their passion helps create an unforgettable experience for everyone who attends the Paddy Rossbach Youth Camp.

If you are an adult who is at least 20 years old and living with limb difference or limb loss and are able to join us for the full time (July 6-13) we invite you to apply to be a counselor. If you have more questions, contact us at camp@amputee-coalition.org.

Camp:  July 6-13, 2019 (counselors arrive on July 6, campers on July 8)
Deadline: March 1, 2019. Spots are limited, so applying as early as possible is important!
Attendee announcement: We will notify all applicants by late March.

You can complete and submit the Camp Counselor application online (below) on a convenient and secure website.

If you would prefer, you can also download the application and email, fax or mail it to the Amputee Coalition. More instructions are included in the form itself and please feel free to contact us at camp@amputee-coalition.org or 888.267.5669.

Download Counselor Application

Camp Counselor Application

General Information


Emergency Contact


Additional Information

Current or Past Medical Conditions/ Camp Support(s) Needed:

Please list any current or past medical conditions that may affect your child at camp (seizure disorder, diabetes, anxiety, etc.) and what support(s) are needed during camp to address the condition.

Condition/Diagnosis & Camp Support(s) Needed:
e.x. Spiriva for Asthma, Administer once daily at 10am

References: List two non-family references, one that you have known for at least one year.

Work History: Be sure to include any experience working with youth or in a camp setting, and any volunteer work. Attach separate sheet if needed.
Employer 1
Employer 2
Employer 3

Background Check:

We will run a criminal background check on all counselors.

Camper Travel Arrangements:

I understand that the Amputee Coalition will make all of the necessary travel arrangements and that the Amputee Coalition will cover the cost of airfare. I understand that the Amputee Coalition is responsible for arranging, rescheduling or canceling my flight. If I am unable to attend, am dismissed from camp, or need to reschedule my flight, I will contact the Amputee Coalition immediately and will be responsible for any fees resulting from a rescheduled flight or cancellation. I understand that I am responsible for my transportation to the airport.

I am responsible for my baggage fees.

Please list the two closest major airports. To ensure the lowest airfare and most direct flight, you may need to drive up to 2-3 hours to get to an airport.
 

I understand that I am responsible for arranging, rescheduling or canceling my flight. I will schedule my flight to arrive at the Cincinnati airport. I will provide my flight itinerary to the Amputee Coalition. I understand that if I am unable to attend, am dismissed from camp, or need to reschedule my flight I am responsible for the cost of my airfare.

I am responsible for my baggage fees.

 

The Amputee Coalition will reimburse my travel expenses up to $600 only if I attend camp for the entire week and provide an email with itemized flight itinerary within 30 days of camp.

I will be responsible for my own transportation to Camp Joy. I understand that I must arrive by the time set by the Amputee Coalition. If I am unable to arrive at the designated time or location, I will contact the Amputee Coalition staff to discuss options.

 

The Amputee Coalition will reimburse my mileage up to $600 only if an email with mileage driven to camp is received within 30 days of camp. The Coalition will not reimburse counselors if they are dismissed from camp.

Additional Information: Please tell us more about yourself!

Do you prefer working with children in a particular age group? We assign counselors to groups as needed but try to accommodate requests if possible:

Questions?
If you have any questions or concerns, please contact the Camp Director, Tonya Osborne-Simpson:
Email (preferred method): camp@amputee-coalition.org
Phone: 888/267-5669, x8103
Fax: 865/525-7917
Mail: Amputee Coalition, 900 E Hill Avenue, Suite 390, Knoxville, TN 37915