Volunteer Cabin Leader Application

Volunteer Cabin Leader Application
Committing to serve for a week of Camp as a Volunteer Cabin Leader allows us to serve 8 more campers during the summer.

Volunteers arrive Monday at 8am for training, campers arrive at 2, and you'll spend the week caring for campers and making sure they have an amazing week! The week of service ends on Friday at 10pm.
Name*

First NameLast Name
Phone*
Email Address*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender*

MaleFemale
Are you under 18 years old?*

YesNo
Date of Birth*

MonthDayYear
Date
Parent's Email Address
example@example.com
Home Church*
City and State of Home Church*
Attending since*
Denomination
How did you hear about serving at Camp Ray Bird?*
Is there any physical, mental or medical reason that would limit your as a volunteer at Camp Ray Bird?*

YESNO
Please explain:
Have you ever been accused, charge or convicted of any questionable actions or words toward or with a child?*

YESNO
Please explain:
Are you presently under psychiatric care or counseling, or taking prescription drugs for similar conditions?*

YESNO
Please explain:
Are you applying to volunteer for a Mini-Camp Weekend in the Fall, Winter or Spring?

YesNo
SELECT ALL THE WEEKS YOU ARE AVAILABLE TO SERVE FOR SUMMER 2025:*

Week 1: June 9-13Week 2: June 16-20Week 3: June 23-27Week 4: June 30-4Week 5: July 7-11Week 6: July 14-18Week 7: July 21-25
Notes about availability
Please explain any experience or training that will qualify you to be a Volunteer Cabin Leader:
EDUCATION
High School:
City, State
Graduation Year
Extracurriculars
Have you been to college or are currently attending?

YesNo
College
Year of graduation (or expected year)
Major
2 ACADEMIC OR WORK REFERENCES (must be non-family)
Name of 1st reference*
Relationship*
Phone*
Email*
example@example.com
Name of 2nd reference*
Relationship*
Phone*
Email*
example@example.com
MATURITY
What is the difference between a Christian and a non-Christian? *
How do you know you are a Christian?*
Why are you interested in volunteering at Camp Ray Bird?*
Living as a Christian means following Jesus as the boss and leader of your life. A mark of Christian maturity is a growing relationship with Jesus, including obeying biblical principles. It’s important that your relationship with Jesus grow in love and
obedience to Him, whether through your thoughts, words or actions. We expect all staff and volunteers, whether on or off duty, to commit to the following during their time of service at Ray Bird Ministries. (This is not a complete list of policies, but rather, ones we think will help you to understand what we value as an organization and what we expect from our staff and volunteers.)

-Abstain from using or promoting media or substances that degrade you or others, including pornography, illegal drugs, abusive language, etc.

-Only pursue or promote a sexuality or gender expression that is consistent with the following Biblical teaching:

a. Every person is created in the image of God and is deserving of respect because of that alone.
b. Every person is created either male or female.
c. God ordains one man for one woman in a covenantal union called marriage.
d. Males and females reflect unique characteristics of God and together they reflect God’s fullness more accurately.
e. All sexual activity outside of God’s design for marriage of one man and one woman is sinful, whether homosexual or heterosexual, etc.
4. Willingly submit to authority. This includes obeying the government. It also includes obeying the camp’s rules that help us live well and in community with each other, including dress code, health and safety standards, dating relationships,
curfew, abstinence from alcohol, smoking products, etc.

We do not expect all staff and volunteers to be completely “settled” on their personal beliefs. We acknowledge some of these issues can be complicated or confused by disorder, abuse, trauma, self-harm, and more.
Do you live in a way that is consistent with all of the above?*

YesNoI have questions or concerns
SIGN OFF
By printing my name, I certify that everything in this application is correct and truthful. I understand that references may be contacted by Ray Bird Ministries.
Applicant Name
Date

MonthDayYear
Date
If student is under 18, parent or guardian sign off is required.
Parent (full printed name)
Date

MonthDayYear
Date
Signature of Parent

Clear
HEALTH HISTORY: Check all that apply
HEALTH HISTORY:
Check all that apply:

Rheumatic FeverAsthmaEpilepsyDiabetesConvulsionsChronic Headaches
Do you have any food allergies?*

YesNo
Allergies:

NoneAspirinOther
List allergies:
Recent surgeries or injuries:
Recent exposure to contagious disease
Medications taken regularly
PERSONAL INSURANCE INFORMATION
Company
Group Employer
Policy #
Phone Number
Please enter a valid phone number.
Other information
In the event of illness, parents are completely responsible for any necessary treatment costs incurred. In case of accident or injury, Ray Bird Ministries holds a secondary coverage status. Our insurance begins where yours ends.
In case of emergency, call:*
Emergency Contact Phone Number*
Please enter a valid phone number.
Family Doctor
Family Doctor Phone Number
Please enter a valid phone number.
Signature*

Clear
I hereby certify that the above health record is, as of this date, accurate and complete.*

MonthDayYear
Date
IF STUDENT IS A MINOR, PLEASE FILL OUT THE FOLLOWING POWER OF ATTORNEY:
I, (We)(parent/guardian name 1) and (parent/guardian name 2) of (city,state) do hereby state that I am (we are) the parent(s) or legal guardian(s) of:
Type a label, a minor, age Type a label born birthdate who resides with me (us) at Street Address Address Line City State Zip .
I (we) authorize an adult leadership staff member of Ray Bird Ministries who is over 18 years of age, to consent to any necessary examination, anesthetic, medical diagnosis, surgery or treatment, and/or hospital care to be rendered to the above named minor under the general or special supervision and on the advice of any physicians or surgeon licensed to practice medicine in the state of Indiana for the period from
Expected dates of service
My child can leave the camp property at their own discretion as long as it does not interfere with their camp responsibilities.

YesNo
Signature of Parent or Guardian

Clear
DATE

MonthDayYear
Date
Should be Empty:

Volunteer Cabin Leader Application

EDUCATION

2 ACADEMIC OR WORK REFERENCES (must be non-family)

MATURITY

SIGN OFF

HEALTH HISTORY: