RFK Camp - New Volunteer App 2018

Please have all applications submitted by February 28th or if after the date as soon as possible.

There is a mandatory training that will be held on Sunday, June 5th and all new volunteers will have to complete at background check at their expense. A link for the background check is posted at www.ilrfkc.org and fee runs approx $20 - $40.

If you have any questions please contact

Ashley Crompton 618-267-6745 or Terri Crompton 618-322-1543.

Name

First Name Last Name

Shirt Size:

Birthdate

Age you will be at camp

Gender

Cell Phone #

Area Code Phone Number

E-mail

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

How Long Have You Lived Here

Camp Jobs - Check all jobs you would be interested in during the week of RKFC Visit www.ilrfkc.org for job descriptions

Big Buddies Only: Mark All Age Groups You Would Like To Work With

Check All Areas You Are Certified In

Strengths: List at least two strengths

Weaknesses: List at least two weaknesses

Check All That Apply To You

Please Explain Any Answers You Marked Above

Medical Conditions: Please List and Explain Any Medical Conditions

Medications: Please List All Medications You Take And The Reason For Taking It

Illness/Injuries: List Any Serious Illness/Injuries You Have Had In The Past Three Years

List Any Medical Conditions That Would Prevent You From Taking Part In Activities The Week Of Camp

Were You Ever A Victim Of Abuse, Neglect, Or Abandonment

Explain: If You Answered Yes To The Above Question - Please Explain How This Will Effect You Volunteering At RFK Camp

Emergency Contact Name:

Phone Number

Area Code Phone Number

Emergency Contact Name:

Phone Number

Area Code Phone Number

Experience: Please List Any Experience You Have Had Working With Children

Experience: List Any Experience/Training You May Have Working With Children Who Have Endured Any Type Of Abuse

Please Share Why You Would Like To Be A Volunteer At RFK Camp

Occupation

Name of Employer

Employer's Phone #

Area Code Phone Number

Number of years you have been there

Reference Name 1

First Name Last Name

Reference Email 1

Reference Name 2

First Name Last Name

Reference Email 2

Reference Name 3

First Name Last Name

Reference Email 3

List All Volunteer Experience

High School Name and Date Of Graduation

College Name, Major & Graduation Date

Have You Committed Your Life To Jesus Christ?

What Church Did You Attend When You Committed Your Life To Jesus? How Old?

What Church Do You Currently Attend? How Long Have You Attended There?

Pastor's Name

First Name Last Name

Church's Phone #

Area Code Phone Number

Would You Feel Comfortable Leading A Short Devotion/Bible Story If Materials Were Provided To You?

How Did You Hear About RFK Camp?

Background Check Requirements:

All new volunteers are required to complete a background check. We ask that all background checks be completed by May 1st. Volunteers are responsible for the background check fee and submitting the forms for this check. Link to website where background check can be completed can be found at www.ilrfkc.org under the volunteer section.

Applicant’s Statement

The information contained in this application is correct to the best of my knowledge. I authorize any references or churches listed in this application to give you any information (including opinions) that they may have regarding my character and fitness for children or youth work. In consideration of the receipt and evaluation of this application by RFK Salem Board, I hereby release any individual, church, youth organization, charity, employer reference, or any other person or organization, including record custodians, both collectively and individually from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply, with this authorization. I waive any right that I may have to inspect any information provided about me by any person or organization identified by me in this application. I further state that I have carefully read the foregoing release and know the contents thereof and I sign this release as my own free act. This is a legally binding agreement which I have read and understand.

Signature: By signing my name, I hereby signify the above information is true and correct to the best of my knowledge.

Use your mouse or finger to sign your name Clear

Date

Month Day Year

New Volunteer Application

Directors: Terry, Terri, & Ashley Crompton