2025 First Time Volunteer Application

Pastor Reference
Church Name*
Years Attended*
Pastor Name*
Pastor Phone Number*
Please enter a valid phone number.
Pastor Email*
example@example.com
Reference #1
Ref. 1 - Name*

First NameLast Name
Ref. 1 - Type/Relation*
Ref. 1 - Years Known*
Ref. 1 - Phone Number*
Please enter a valid phone number.
Ref. 1 - Email*
example@example.com
Reference #2
Ref. 2 - Name*

First NameLast Name
Ref. 2 - Type/Relation*
Ref. 2 - Years Known*
Ref. 2 - Phone Number*
Please enter a valid phone number.
Ref. 2 - Email*
example@example.com
Reference #3
Ref. 3 - Name*

First NameLast Name
Ref. 3 - Type/Relation*
Ref. 3 - Years Known*
Ref. 3 - Phone Number*
Please enter a valid phone number.
Ref. 3 - Email*
example@example.com

Medical Information
1st Emergency Contact Name*

First NameLast Name
1st Emergency Contact Phone*
Please enter a valid phone number.
1st Emergency Contact Relationship*
2nd Emergency Contact Name*

First NameLast Name
2nd Emergency Contact Phone*
Please enter a valid phone number.
2nd Emergency Contact Relationship*
Do you have medical insurance?*

YesNo
Medical Insurance Provider*
Name of Policy Holder*

First NameLast Name
Policy Number*
Insurance Company Phone*
Please enter a valid phone number.
Name of Preferred Doctor or Clinic*
Date of Last Tetanus Shot*
Medical or Food Allergies*
If no allergies, type NONE
Medical, Physical, or Activity Restrictions*
If no restrictions, type NONE
Medication to be taken while at camp (must be given to camp nurse)*
If no medications, type NONE

Authorization and Liability Release

Please read and sign below.
Discipline Policy

Behavior and/or attitudes deemed unacceptable by the discretion of our Camp Director will warrant the applicant’s immediate dismissal. If applicant is a minor, parents/guardians will be notified, and they will be responsible for the removal of the applicant.

Legal Consent

As parent or legal guardian of the applicant under the age of 18 applying, or for myself being over the age of 18, I hereby grant permission for the above named to volunteer with Rocky Mountain Bible Mission (RMBM) and consent to its Discipline Policy. I also do hereby release RMBM from any and all liability or responsibility due to any injury that he/she/I may incur as the result of, or arising in any way from, participation in activities at or under the direction of RMBM. I am fully aware, consent to accept these risks, and voluntarily agree to allow his/her/my participation in activities.

I further understand RMBM often takes photographs or videos of participants during activities or events. I grant permission without compensation that these photographs and/or videos may be used in publications, presentations, websites and promotion of Rocky Mountain Bible Mission. RMBM will not identify me, or the minor applicant, by name or release any other personal information without
additional written permission from me.
Applicant Name*

First NameLast Name
Applicant Signature*

Clear
Date*

MonthDayYear

Authorization and Liability Release

A parent or guardian must read and sign below.
Parental Approval

I grant my permission for the applicant to work with Rocky Mountain Bible Mission.

Discipline Policy

Behavior and/or attitudes deemed unacceptable by the discretion of our Camp Director will warrant the applicant’s immediate dismissal. If applicant is a minor, parents/guardians will be notified, and they will be responsible for the removal of the applicant.

Legal Consent

As parent or legal guardian of the applicant under the age of 18 applying, or for myself being over the age of 18, I hereby grant permission for the above named to volunteer with Rocky Mountain Bible Mission (RMBM) and consent to its Discipline Policy. I also do hereby release RMBM from any and all liability or responsibility due to any injury that he/she/I may incur as the result of, or arising in any way from, participation in activities at or under the direction of RMBM. I am fully aware, consent to accept these risks, and voluntarily agree to allow his/her/my participation in activities.

I further understand RMBM often takes photographs or videos of participants during activities or events. I grant permission without compensation that these photographs and/or videos may be used in publications, presentations, websites and promotion of Rocky Mountain Bible Mission. RMBM will not identify me, or the minor applicant, by name or release any other personal information without
additional written permission from me.
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Signature*

Clear
Date*

MonthDayYear

Statement of Faith and Applicant Confirmation

Please read and sign below.
Ministry Commitment to RMBM's Statement of Faith

Scripture: We believe the Scriptures, both Old and New Testaments, to be the inspired Word of God, without error in the original writings, the complete revelation of His will for the salvation of men, and the divine and final authority for all Christian faith and life.

Trinity: We believe in one God, Creator of all things, infinitely perfect and eternally existing in three persons; Father, Son, and Holy Spirit.

Jesus Christ: We believe that Jesus Christ is true God and true man, having been conceived of the Holy Spirit and born of the virgin Mary. He died on the cross as a sacrifice for our sins according to the Scriptures. Further, He rose bodily from the dead, ascended into heaven, where at the right hand of the Majesty on high, He now is our High Priest and advocate.

Holy Spirit: We believe that the ministry of the Holy Spirit is to glorify the Lord Jesus Christ, and during this age to convict men, regenerate the believing sinner, indwell, guide, instruct and empower the believer for godly living and service.

Man: We believe that man was created in the image of God but fell into sin and is therefore lost and only through regeneration by the Holy Spirit can salvation and spiritual life be obtained.

Salvation: We believe that the shed blood of Jesus Christ and His resurrection provide the only ground for justification and salvation of all who believe, and only such as receive Jesus Christ as Savior and Lord are born of the Holy Spirit, and thus, become children of God.

Ordinances: We believe that water baptism and the Lord's Supper are ordinances to be observed by the Church during the present age. They are, however, not to be regarded as means of salvation.

The Church: We believe that the true Church is composed of all such persons who, through saving faith in Jesus Christ, have been regenerated by the Holy Spirit and are united together in the body of Christ of which He is the head.

Mission Membership: We believe that only those who are thus members of the true Church shall be eligible for membership in the Mission.

Future Events: We believe in the personal, pre-millennial, and imminent coming of our Lord Jesus Christ and that this "blessed hope" has a vital bearing on the personal life and service of the believer.

Man's End: We believe in the bodily resurrection of the dead; of the believer to everlasting blessedness and the joy with the Lord, of the unbeliever to judgment and everlasting conscious punishment.

Applicant Confirmation and Personal Information Release

I recognize that Rocky Mountain Bible Mission and its affiliates are relying on the accuracy of the information I have provided here.

Accordingly, I attest and affirm that the information provided is absolutely true and correct. I voluntarily release RMBM, its affiliates and anyone listed on this application from liability involving the communication of information relating to my background or qualifications. I further authorize RMBM to conduct a background investigation, if such a check is deemed necessary, and request that any policing authority release any information that pertains to any criminal file maintained on me, whether local, state or national.

I have read the Statement of Faith of the Rocky Mountain Bible Mission and am in agreement with it. I adhere to the gender identification policy. I agree to abide by all policies and procedures of Rocky Mountain Bible Mission and its faith statement, and to protect the health and safety of the children or youth assigned to my care or supervision at all times. I am willing to submit to the authority of the Mission, and to those who will supervise my work.
Applicant Name*

First NameLast Name
Applicant Signature*

Clear
Date*

MonthDayYear
Please Read Before Submitting: In order to process your application, we need some sentitive information like your SSN so that we can run a background check. After you submit your application, there will be a thank you page with a link to take you to an encryted form. The information on that form is encrypted and can only be accessed with a private security key that only Camp Utmost administration has access to. It is used to perform a background check and for no other purposes. If, however, you do not feel comfortable completing the form, we will call you with the remaining questions.
Should be Empty:

First Time Volunteer Application

General Information

Ministry Interest

Lifestyle Issues

Pastor Reference

Reference #1

Reference #2

Reference #3

Medical Information

Authorization and Liability Release

Authorization and Liability Release

Statement of Faith and Applicant Confirmation