NEW TRAC Volunteer

TEEN REACH ADVENTURE CAMP CAMP COUNSELOR/STAFF APPLICATION

Must be 21 to serve. Must pass a background check. Interview with Directors. Attend Mandatory Training 12pm-8pm for New Volunteers
Select TRAC Camp you would like to volunteer at:
Date

MonthDayYear
Date
Name

First NameLast Name
Street
City
State
Cell Phone
Format: (000) 000-0000.
Home Phone
Format: (000) 000-0000.
Email
example@example.com
Birth Date

MonthDayYear
Date
Sex
Marital Status
Living Situation
Emergency Contact
Phone Number
Format: (000) 000-0000.
T-Shirt Size
Have you ever been abused, neglected, or abandoned?
Have you committed your life to Jesus Christ?
Could you lead a 15-minute devotion for your campers with provided materials?
Which church do you presently attend?
Pastors Name
Phone
Format: (000) 000-0000.
Scan the QR code or follow hyperlink:

https://static1.squarespace.com/static/6217ef100bd53704ce6c4cac/t/64307d1d033d9c699e6b3b12/1680899358093/ Policy+for+TRAC-1.pdf
I have read, agree with, and will comply with the Teen Reach Statement of Faith, Volunteer Standards, and Position Statement.
Have you ever been arrested for a criminal offense?
Have you ever been arrested for sexual misconduct?
Have you ever been convicted of sexual misconduct?
Have you ever taken drugs other than those prescribed by your physician?
If you answered yes to any of the questions above please explain. If no, please write N/A.
Education
High School
Date of Graduation
College
Date of Graduation
Other
Graduation
Do you have a certification in the following? (Select all that apply)
Have you previously served at another TRAC program?
If yes, where?
When?
Why do you wish to be a volunteer at TRAC?
Please describe your previous experience working with children or teenagers:
Do you have previous training/experience working with abused, neglected or abandoned children/teens?
If so, please explain.
Please select the words which you believe accurately describe you?
List five strengths and weaknesses you have in working with teenagers or children (please be specific): My strengths are:
1
2
3
4
5
My weaknesses are:
1
2
3
4
5
Medical History
Can you hike at least 2 miles?
Do you have any medical conditions?
If yes, please explain.
Do you take any medications?
If yes, please list:
References

Please provide one professional, one ministry, and one personal reference:
Professional Reference

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Ministry Reference

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Personal Reference

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
I am interested in becoming a mentor:
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.
Full Name
Signature
Date

MonthDayYear
Date
Should be Empty:

TEEN REACH ADVENTURE CAMP CAMP COUNSELOR/STAFF APPLICATION

Education

Medical History

References