Volunteer Application Form 2023

JULY 16 - 21 2023

At Camp Hope
Volunteer Application
Personal Information
Name*

First NameLast Name
Date of Birth *
Month/Day/Year
Age
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contact*

First NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
Medical Information
Do you have any medical conditions / problems*
Have you had any serious injuries or illness in the past three years*
Do you have any physical handicaps or physical or mental conditions that may prevent you from performing camp related activities?*
Experience
Do you have any previous experience working with children? (please describe)*
Do you have previous or work experience with underprivileged children (please describe) *
Do you have certification in any of the following?

CPRFirst AidLifegaurdNurseEMTFood Handling
Camp Interests
Please explain why you would like to volunteer at camp for underprivileged children.*
What position(s) would you prefer to volunteer for?*

CounselorStaffKitchenNight ReliefUndecidedWorship TeamActivity Leader
If staying at camp, will you need a room or will you be staying in a camper?*

I’m bringing a camperI will need a bed at campI may bring a camper, but not sure yet
Will you be staying at camp each night?*

YesNo
What age group do you prefer?*

ElementaryJunior HighHigh SchoolNo Preference
Personal Profile
Have you committed your life to Jesus Christ?*

YesNo
Do you currently attend church regularly?

YesNo
If "No", please give a brief description of your church experience (past or present).
Name of church
Pastor's Name

First NameLast Name
Pastor's Phone#

Area CodePhone Number
Have you ever been arrested, convicted or pled guilty to any crime or sexual misconduct?*

YesNo
Please explain conviction
Personal References
Reference1*

First NameLast Name
E-mail
Phone Number*

Area CodePhone Number
Reference2*

First NameLast Name
E-mail
Phone Number*

Area CodePhone Number
T-Shirt Size*

SmallMediumLargeXLargeXXLargeXXXLarge
Background Check Authorization
I understand that Camp5 will determine my fitness for volunteering. These may include criminal and driving records. Various federal, state, and local agencies, maybe contacted for information about my past activities. These reports may be obtained prior to volunteering at Camp5. I have reviewed and understand my role, and false information or failing to adhere to Camp5 rules and guidelines will result in immediate suspension of my volunteer privileges.
Signature for Background Check*

Clear
https://camp5.org
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JULY 16 - 21 2023

Volunteer Application

Personal Information

Medical Information

Experience

Camp Interests

Personal Profile

Personal References

Background Check Authorization