Lao summer camp counselor application

We are looking for confident, capable and experienced camp counselors for the 2019 Pom Foundation Lao Summer Camp! Applicants will be reviewed and selected based on their answers. Applicants will be notified by email if they’ve been selected. Please email with any questions or concerns.

Deadline: July 14th, 2019

Name *
Phone *
Home Address
Home Address
We strongly believe in higher education. Do you plan to attend college/trade/technical school after you're done with high school? *
If you are already in college/trade/technical school, please mark YES.
Please answer the following questions to the best of your abilities. We are looking for natural leaders with strong problem solving skills, and the ability to navigate different situations with diplomacy and grace.
By signing below, you agree to the following terms.
Release Form *
Release Form
I understand that this is an application for and not a commitment or promise of volunteer opportunity. I certify that I have and will provide information throughout the selection process, including on this application for a volunteer position and in interviews with Pom Foundation that is true, correct and complete to the best of my knowledge. I certify that I have and will answer all questions to the best of my ability and that I have not and will not withhold any information that would unfavorably affect my application for a volunteer position. I understand that information contained on my application will be verified by Pom Foundation. I understand that misrepresentations or omissions may be cause for my immediate rejection as an applicant for a volunteer position with Pom Foundation or my termination as a volunteer. CONSENT AND RELEASE I agree to release Pom Foundation, Wat Lao Mixayaram, and their representatives from all liability, loss, damage, costs, claims, or causes of action including, but not limited to, bodily injuries and property damage arising from participation in Pom Foundation and Wat Lao Mixayaram events, or any activities sponsored or organized by Pom Foundation and Wat Lao Mixayaram. I further agree to indemnify and hold harmless Pom Foundation, Wat Lao Mixayaram and their staff, organizers and agents from any and all liability, loss, damage, costs, claims, or causes of action, including attorney’s fees and witness costs, arising out of the undersigned‘s participation in this community summer camp. MEDIA RELEASE I hereby authorize Pom Foundation and Wat Lao Mixayaram to use my picture for its public relations activities, which may include its newsletter, brochure, photo displays, and/or other organization and program promotional materials. I understand that I have the right to revoke this consent in writing, at any time, except to the extent that action has been taken in reliance upon this consent. I further understand that I have the right to request a restriction as to how the picture is used.