Houghton RFKC Returning Staff Application

Houghton RFKC Returning Staff Application

Reapplication Form for Returning Counselors and Staff
Please Note:

If you are committed to returning to camp on July 5 - 10, 2026, please complete this form by late-January. Please do not submit this form unless you are committed to serving next summer.
Background Check:

In order to maintain compliance with RFK, Inc.’s requirements, you may be asked at a later date to complete a criminal background check. Any costs associated with such a check will be covered by Houghton RFKC.
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone
Please enter a valid phone number.
Home Phone
Please enter a valid phone number.
Email*
example@example.com
T-shirt Size*

SMLXLOther

Are you a Houghton College Student?*

YesNo
What is your CPO?
Phone # to reach you after the spring semester (if different from above):
Please enter a valid phone number.

Medical Information

it is not necessary to list meds on this form. Rather, give list of your meds to our Camp Nurse at camp.
Do you have any current medical problems?*

YesNo
Please explain*
Do you take any medications?*

YesNo

Immunization Information

If you submitted the following information last year and it has not changed, you may leave this section blank. Otherwise, please respond.
Have you been inoculated for Measles and Mumps? (If you were born after 1956, inoculation is required)

YesNo
Have you had a tetanus shot within the past 10 years?

YesNo
Date of last tetanus? (You do not need to update your tetanus. We simply need to know, in case of emergency, if your immunization is current or not.)

Personal Profile
Royal Family Kids is a Christian organization, and our camp maintains essential principles of Christianity such as the following: belief in God, Jesus, and the Holy Spirit; the need for forgiveness of sin and living in accordance with Biblical principles; and the responsibility to disciple others through word and deed. Presumably we have considered you to be a Christian role model for children—or we would not have accepted you to work at RFKC in the first place. Do you hold these essential principles as your own?*

YesNo
Please explain*
Since July, 2025, have you been arrested for a criminal offense?*

YesNo
Please explain*
Since July, 2025, have you taken illegal drugs?*

YesNo
Please explain*
Does your lifestyle—including your online presence (Instagram, Facebook, Twitter, Snapchat, etc.)—reflect values consistent with those of Royal Family Kids Camp?*

YesNo
Please provide more detail*

Are you applying to be a counselor?*

YesNo
What ages of children do you prefer to work with at camp this summer?
Do you have any special requests concerning specific campers and/or buddy counselor?

Background Check
I understand that I will be required to submit to a background check as a condition of acceptance as a volunteer, and that unsatisfactory results, refusal to cooperate, or any attempt to affect the results of these background checks will result in me being removed as a volunteer or volunteer applicant.
Do you agree to submit to a background check?*

YesNo

Certification
I hereby certify that all of the information provided by me in this Application (or in any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in these documents may (or will) be cause for the denial of acceptance as a volunteer, or immediate removal as a volunteer, regardless of the timing or circumstances of discovery.
Do you certify the accuracy of the information you have submitted as stated above?*

YesNo
Should be Empty:

Please Note: