Volunteer Application

I'm interested in volunteering (click all that apply):

I'm interested in volunteering:

Skip this volunteer application and contact our Facilities Director at jeremy@raybird.org

What kind of skill sets do you have for facilities help?

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 7:55 am 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 9pm.

Name

First NameLast Name

Phone

Format: (000) 000-0000.

Email Address

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Gender

Are you under 18 years old?

Date of Birth

Date

Parent's Email Address

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?

Please explain:

Have you ever been accused, charge or convicted of any questionable actions or words toward or with a child?

Please explain:

Are you presently under psychiatric care or counseling, or taking prescription drugs for similar conditions?

Please explain:

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

SELECT ALL THE WEEKS YOU ARE AVAILABLE TO SERVE FOR SUMMER 2026:

We have very limited flexibility for volunteers during the week outside of their daily 2 hour break in the afternoon. If you need additional flexibility during the week, please explain:

Please explain any experience or training that will qualify you to be a Volunteer Cabin Leader:

High School:

City, State

Graduation Year

Extracurriculars

Have you been to college or are currently attending?

College

Year of graduation (or expected year)

Major

Name of 1st reference

Relationship

Phone

Format: (000) 000-0000.

Email

Name of 2nd reference

Relationship

Phone

Format: (000) 000-0000.

Email

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?

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

If student is under 18, parent or guardian sign off is required.

Parent (full printed name)

Date

Signature of Parent

HEALTH HISTORY: Check all that apply

Check all that apply:

Do you have any food allergies?

Allergies:

Other

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.Format: (000) 000-0000.

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.Format: (000) 000-0000.

Family Doctor

Family Doctor Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Signature

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

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.

Signature of Parent or Guardian

DATE

Date

Volunteer Application

EDUCATION

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

MATURITY

SIGN OFF

HEALTH HISTORY: