Event Volunteer Application

All information provided on this application shall remain in the possession of Trail Ridge Camp and shall remain confidential.

Full Name *

Address *

Address

Street Address Line 2

City State

Zip

Social Security # (required for background checks) *

Please select the box when you have read the following statement. *

I hereby give consent for Trail Ridge Camp to make an investigative check of my background including character references, past employment, education, consumer reports, and criminal history record which may be in state or local files, for the purpose of verifying the information on my application and obtaining other material which may be essential to my qualification for this employment.

Birthday *

Primary Phone # *

Best time to reach by phone *

Email Address *

example@example.com

Church Name and City *

Pastor's Name *

Pastor's Phone # *

How long have you attended the above named church? *

Please list which event you would like to volunteer for. *

Why do you want to serve at Trail Ridge for this event? *

Do you have any physical limitations that would hinder you from fulfilling any job requirements or require any special accomodations? *

Do you have any special skills you feel would be useful during this event?

In which area would you like to serve at this event? (housekeeping, kitchen, activites, etc.) *

Emergency Contact Name *

Relation: *

Phone # *

Have you volunteered at Trail Ridge before? *

Yes No

If so, in what capacity?

Have you ever been convicted of a crime? If yes, explain below. *

Yes No

Have you ever been accused or convicted of child abuse or molestation? If yes, explain below. *

Yes No

Explain:

Volunteer Agreement “I, the undersigned, do offer my volunteer services to Trail Ridge Camp of mine own free will, without remuneration, as a service to the Lord Jesus and also to the community.

I agree to support Trail Ridge Camp in their dress and conduct regulations while at camp. I also give permission to use photos, audio and video footage including me in camp publicity. In case of medical emergency, I understand every effort will be made to contact an Emergency Contact provided on this application. In the event they cannot be reached, I hereby give permission to the physician selected by the camp administration to hospitalize and secure proper treatment for and order injection and anesthesia or surgery for me. I hereby hold Trail Ridge Camp harmless for any medical expense incurred for my benefit. I agree to the release of any records necessary for treatment, referral, billing, or insurance purposes. I also affirm that the medical information on this form is complete and correct.”

Print Name: *

Signature: *

Clear

Date: *

Date

We will be reviewing your application and running a background check as soon as we receive it. We will inform you of our decision as soon as possible.

Trail Ridge Camp - S2695 Cherith Way, Hillsboro, WI 54634 - 608-489-3810 - info@trailridge.org

Event Volunteer Application

Personal Information