TEEN REACH ADVENTURE CAMP
Lakeland, FL
NEW STAFF APPLICATION
If this IS NOT your first time applying for and volunteering at T.R.A.C. Lakeland, please access the returner application at https://form.jotform.com/242306076709154.
Staff Interviews
Wednesday, November 6 OR Saturday, November 16 at The King's Church, Lakeland
Staff Training
Saturday, January 4, 2025 at The King's Church, Lakeland (Childcare included.)
Boys Camp - January 16-19, 2025
Girls Camp - February 6-9, 2025
READ BEFORE COMPLETING THE APPLICATION
You will need the names and contact information of a professional, ministry, and personal reference (excluding The King's Church pastors and staff) AND a recent photo to successfully complete this application.
Name
First Name
Last Name
Street
City
State
Zip Code
Cell Phone
E -MAIL
Birth Date
/
Month
/
Day
Year
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Sex
Male
Female
Marital Status
Living Situation
Emergency Contact Name
Emergency Contact Phone Number
Please upload a current high resolution picture of yourself. Selfies welcome!
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T-Shirt Size
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
Adult XXX-Large
Women’s style/cut
Check any word that accurately describes you.
Timid
Mature
Agreeable
Secure
Articulate
Relaxed
Gentle
Sarcastic
Kind
Considerate
Organized
Tactful
Impatient
Patient
Stubborn
Abrasive
Impulsive
Compassionate
Nervous
Angry
Studious
Trustworthy
Intellectual
Affectionate
Deliberate
Selfish
Motivated
Insecure
Please list 2-4 STRENGTHS you'll bring when working with teens in a camp setting.
Please list 2-4 WEAKNESSES you'll bring when working with teens in a camp setting.
REFERENCES (Please do not list T.R.A.C. leadership, The King's Church pastors, or Amy Hornbuckle as a ministry reference.)
Name
Phone Number
Email Address
Professional
Ministry
Personal
Do you have a certification in the following?
CPR
First Aid
Lifeguard
Nurse
EMT
Have you put your faith in Jesus Christ and committed your life to him?
Yes
No
I have read, agree with, and will comply with the Teen Reach Statement of Faith, Volunteer Standards, and Position Statement. (Read at https://shorturl.at/MzSMj)
Yes
No
Which church do you presently attend?
Pastor's Name
If you do not presently attend church, please provide a brief explanation:
Why do you wish to volunteer at T.R.A.C.?
Please describe your previous experience working with children or teens. (NOTE: Previous experience is NOT REQUIRED to come to camp.)
If applicable, please describe any previous training or experience you have had working with abused, neglected, or abandoned children or teens.
Have you ever been abused, neglected, or abandoned? (NOTE: Camp leadership WILL NOT ask you for the details of your hurt. Instead, you will be asked about your healing journey.)
No
Yes
Do you have any dietary restrictions?
No
Yes
If yes, please list:
Do you have any moderate to severe medical conditions?
No
Yes
If yes, please explain:
Do you take any medications?
No
Yes
If yes, please list them below:
Medication
Reason
Possible Side Effects
Medication 1
Medication 2
Medication 3
Medication 4
Medication 5
Medication 6
Medication 7
Medication 8
Medication 9
Medication 10
Can you hike at least 2 miles?
Yes
No
If no, please explain:
Have you ever been arrested for a criminal offense?
No
Yes
Have you ever been arrested for sexual misconduct?
No
Yes
Have you ever been convicted of sexual misconduct?
No
Yes
Have you ever taken drugs other than those prescribed by a physician?
No
Yes
If you answered "yes" to any of the last 4 questions above, please explain:
Interviews Available - Wednesday, November 6
Interviews Available - Saturday, November 16
(Check all that apply) I am interested in volunteering at:
Boys Camp - January 16-19, 2025
Girls Camp - February 6-9, 2025
(Check all that apply) I am interest the role(s) of:
Camp Counselor
Photographer
Extended Family (Aunt, Uncle, Grandma, Grandpa)
Challenge Course Facilitator
CrossTalk Teacher
Musician
Arts/Crafts
I certify, under penalty of perjury, that my signature below signifies this information is true and correct to the best of my knowledge. I give permission for T.R.A.C. to request background checks for me to become a staff member/camp counselor for Teen Reach Adventure Camp.
Name
Signature
Date
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Month
/
Day
Year
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