• TEEN REACH ADVENTURE CAMP (T.R.A.C.)

    CAMP COUNSELOR / STAFF APPLICATION

  • {campName}

    {hostChurch}
    {churchAddress}

    {contactInfo}

    Boys Camp: {boysCamp}

    Girls Camp: {girlsCamp}

  • Are you a returning volunteer or a brand new volunteer applicant?*

  • You will need to provide emails for three references: professional, ministry, and personal. If you don't have references prepared, you may want to get them ready before continuing.

  • Which camp(s) do you intend to participate in?
  • Birth Date*
     / /
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Do you have a certification in the following?
  • Has anything changed in your life in the past year, personally or professionally? If yes, please explain*
  • Have you ever been abused, neglected, or abandoned?*
  • Have you ever been arrested for a criminal offense?*
  • Have you ever been arrested for sexual misconduct?*
  • Have you ever been convicted of sexual misconduct?*
  • Have you ever taken drugs other than those prescribed by your physician?*
  • Can you hike at least 2 miles?*
  • Do you have any medical conditions or dietary restrictions?*
  • Do you take any medications?*
  • Which words accurately describe you?*

  • List five strengths and weaknesses you have in working with teenagers or children (please be specific).

  • Strengths

  • Weaknesses

  • Have you committed your life to Jesus Christ?*
  • Could you lead a 15-minute devotion for your campers with provided material?*

  • References

    (one professional, one ministry, one personal)

  • Professional Reference

  • Format: (000) 000-0000.

  • Ministry Reference

  • Format: (000) 000-0000.

  • Personal Reference

  • Format: (000) 000-0000.
  • I have read, agree with, and will comply with the Teen Reach Statement of Faith, Volunteer Standards, and Position Statement.*
  • I am interested in becoming a mentor.*

  • I certify, under penalty of perjury, that my signature below signifies the information in this application is true and correct to the best of my knowledge. I give permission for T.R.A.C. to request background checks for me to become a staff member/camp counselor for Teen Reach Adventure Camp.

    I understand that I am not required to sign this form electronically and can request to sign a paper copy if I so choose.

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