Returning Counselor Application

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

E-mail*

Phone Number*

Area CodePhone Number

Date of Birth*

MonthDayYear

How many years have you served at Royal Family Kids Camp?*

Past Tense

Anything new with you that we should know about since last summer?*

Emergency Contact Information*

Name

Emergency Contact Phone Number*

Area CodePhone Number

Relationship to Emergency Contact*

T-Shirt Size*

Have you had any medical issues/concerns since last camp?*

YesNo

If yes, please explain.

Do you take any medications?*

YesNo

If yes, please list medicine, reason, and any side effects.

Do you have any physical limitations that make walking or certain activities challenging?*

YesNo

If yes, please explain.

Do you have any dietary restrictions?*

YesNo

If you have dietary restrictions, please explain below.

Volunteer Position*

What role do you want to serve in this year?

Is there any part of your volunteer position or the structure of camp that you struggle with?*

As a returning staff member, is there anything you would like to learn about in training or an area that you think we should focus on?*

Can you put your life on hold for 6 days (Sunday morning until Friday night) and place the best interest of our campers above everything else?*

YesNoOther

If anything comes to mind, provide comments, concerns, or suggestions about the camp week.*

I understand that RFK is a Christian camp and will support and participate daily in the spiritual activities of the camp.
I understand my role is to love and listen to the campers just as Jesus would. If a camper asks me faith type questions, I will respond by reminding him/her of the teachings we received at camp and listen, not give my interpretation of scripture to answer their questions.
I understand sharing or advocating personal opinions on divisive social topics is not the purpose of our time together at camp. Our priority is to focus on the things that bind us, not things that divide us.
I understand that camp will be challenging and so I commit to let my actions be led by the Spirit to create a loving environment where each of us feels supported, regardless of any theological or personal differences.
I understand that camp will be difficult and I will probably get irritated at one time or another.
I understand that at camp I may be stressed and have cravings for certain substances. I will not abuse prescribed medications or consume any legal or illegal drugs or alcohol at camp. And when I am feeling upset, I will seek out support to help me manage any emotions so I can be clear headed & self controlled.
I understand that camp is FOR THE CHILDREN and I will daily put aside my own needs and give myself to these children that have experienced trauma. I will extend generosity and compassion, expecting nothing in return, for these six full days.

Can you support these values as described above?*

YesNo

Camper Name

Would you want the same campers again?

YesNo

How did your campers and other campers in the cabin get along?

What was the atmosphere like in your cabin/on your team like?*

Since your last application, have you had an order of protection filed against you?*

YesNo

Since your last application, have you been arrested for a criminal offense?*

YesNo

Since your last application, have you ever looked at pornography featuring minors?*

YesNo

Since your last application, have you left or been asked to leave a role within an organization due to a concern regarding inappropriate conduct?*

YesNo

Since your last application, have you committed or been accused of any act involving the physical, sexual or emotional harm of another person?*

YesNo

Since your last application, have you been the subject of a DCFS investigation or are currently under investigation by DCFS?*

YesNo

Since your last application, have you had any kind of relationship with a minor or vulnerable adult that has brought sexual gratification to yourself?*

YesNo

Are you dependent on any substance (other than prescription drugs) that you could not go 5 days without?*

YesNo

Is there any circumstance or pattern in your life, or engagement in any behavior, which would compromise the integrity of Royal Family KIDS Camp program or make it inappropriate for you to serve as a role model with our campers?*

YesNo

If you answered "yes" to any of the above, please explain.

Do you understand that Mission Church will run a background check to verify your eligibility to serve at camp?*

YesNo

1st Referral

Please include the names and contact information of a person you know who may be interested in serving at Royal Family KIDS Camp this year.

Name

First NameLast Name

Phone Number

Area CodePhone Number

E-mail

2nd Referral

Please include the names and contact information of a person you know who may be interested in serving at Royal Family KIDS Camp this year.

Name

First NameLast Name

Phone Number

Area CodePhone Number

E-mail

Signature*

First NameLast Name

Returning Volunteer Application for Royal Family KIDS Camp of Suburban Chicago

Personal Information

Medical History

Camp Week

Beliefs & Commitments

Camper Information

Team Information

Integrity & Safety

Future Team Members

Verification