Walden West Cabin Leader Volunteer Application
Cell Phone Carrier:
Parent / Guardian Phone:
School / College:
Age (when volunteering):
to see which week your old school is coming to camp.
Date Request 1:
Please select the Sunday of the week that you can participate
Date Request 2:
Please select the Sunday of the second week that you can participate
Date Request 3:
Please select the Sunday of the third week that you can participate
Elementary school to be paired with (optional):
Please describe why you want to be a Walden West Outdoor School volunteer cabin leader:
Have you ever been convicted of a felony or misdemeanor, or do you currently have a felony or misdemeanor charge pending? Convictions include a pleas of guilty, nolo contendere (no contest) and/or a finding of guilty by a judge or a jury.
Yes. If yes, list all convictions including, but not limited to convictions for "driving under the influence," convictions for sex and/or drug, and serious or violent offenses listed in California Education Code Sections 44010 and 44011
I certify under penalty of perjury and in conformance with Education Code 35021 that I am not required to register as a sex offender pursuant to Penal Code 290 and to the best of my knowledge, all information given by me in this application and in any other forms I complete during the application and registration process is true and correct. I understand that false or misleading statements made by me or consequential omissions of any kind in the application process are sufficient cause for my not being accepted as a volunteer or for my being dismissed if I am already a volunteer no matter when discovered.