Returning TRAC Volunteer

TEEN REACH ADVENTURE CAMP RETURNING CAMP COUNSELOR/STAFF APPLICATION
Select TRAC Camp you would like to volunteer at:*

Girls TRAC: January 17-20Boys TRAC: February 7-10
RETURNING Volunteer Information
Date

MonthDayYear
Date
Name*

First NameLast Name
Street*
City*
State*
Cell Phone*
Home Phone
E-mail*
example@example.com
Birth Date*

MonthDayYear
Date
Sex*
Marital Status*
Living Situation
Emergency Contact*
Phone Number*
T-Shirt Size*
Have you ever been abused, neglected, or abandoned?*

NoYesPrefer to discuss in person
Do you have a certification in any of the following? (Select all that apply)*

CPRFirst AidLifeguardNurseEMTNone of the Above
Why do you wish to continue volunteering at TRAC?*
Do you have any medical conditions?*

YesNo
If yes, please explain:
Do you take any medications?*

YesNo
If yes, please list:
In the past year, did you serve at any other TRAC programs?*

YesNo
If yes, where?
Has anything changed in your life in the past year, personally of professionally?*

YesNo
If yes, please explain:
In the past year, have there been any changes in your legal record?*

YesNo
If yes, please explain:
In the past year, have you been accused or convicted of any sexual misconduct?*

YesNo
If yes, please explain:
In the past year, have you ever taken drugs other than prescriptions?*

YesNo
If yes, please explain:
How has God been growing you over the past year?*
Please read the Teen Reach Statement of Faith, Volunteer Standards, and Position Statement

https://static1.squarespace.com/static/6217ef100bd53704ce6c4cac/t/64307d1d033d9c699e6b3b12/1680899358093/Standards 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.*

YesNo
I am interested in becoming a mentor,*

YesNo
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*

Clear
Date

MonthDayYear
Date
Should be Empty:

TEEN REACH ADVENTURE CAMP RETURNING CAMP COUNSELOR/STAFF APPLICATION

RETURNING Volunteer Information