Campground Host/Resident Volunteer Application

(Please submit a separate application for each individual)

* First Name

MI

* Last Name

* Home Address

* City

* State

* Zip Code

* Phone (best)

* E-mail address

* DOB

Do you have a valid driver's license?

Emergency Contact

* Contact name

* Relationship

* Phone (best)

References

(List references that are familiar with your work or volunteer experience. Do not use relatives.)

* Name

* Phone

Relationship

* Name

* Phone

Relationship

Location

Are you unsure of what park is close to you? Please click here for the map!

Where are you most interested in volunteering?

Are you willing to volunteer at other state parks?

If so, which other parks

Availability

What year are you applying for?

What months are you available?

What days are you available?

How many hours per week can you volunteer? (Note: minimum 20 hours per week required per site)

Is your availability flexible?

Campground Host or Resident Volunteer

(Note: Maximum 16 week stay in any single park)

Type of unit

Length of unit

Width of unit

RV hook up needed

Amps Required

Will you have a pet?

If yes, type and breed:

Number of people (including applicant) that will be residing at the campsite

# Adults

# Youths

Name and date of birth of others residing with you

Background and Experiences

Highlight background and experiences that you feel contributes to Florida State Parks

Education and Experience

Please check all the skills/duties that you have experience in:

Please check all the boxes of those skills/duties that you are interested in performing:

License, Registration or Certifications

What are some of your hobbies and interests?

Your Volunteer Service Goals

Are you willing to supervise other volunteers?

Background Information

Please select "Exempt from Public Records" below if you are a covered employee** or the spouse or child of one, whose information is exempt from public records disclosure under Section 119.071 (4)(d), Florida Statutes (F.S.)

Have you ever been convicted, pled Nolo Contendere, or had the adjudication of guilt withheld for a crime which is a felony or a first degree misdemeanor?

If 'yes' to this question, please explain, what charges or convictions and when?

Note: A "Yes" answer to these questions will not automatically bar you from volunteering. The nature, job-relatedness, severity and date of the offense in relation to the position for which you are applying are considered. It is the policy of the Department of Environmental Protection that all current and new volunteers, who are assigned to perform the duties of positions of special trust as designated by the Secretary, may be subject to a security background check including fingerprinting as a condition of employment or working for or with the Department.

Terms and Conditions

I understand that I may be asked to provide date of birth, driver's license number(s) or other proof of identfication, and Social Security Number(s) at a later date. I certify that all information contained in this application is true and correct. Further, I authorize the Florida State Parks to verify the information provided.

By checking this box you agree to the terms provided.

Application Date