Part-Time Volunteer Application 2026

Part-Time Volunteer Application 2026

This is for all part-time volunteers interested in helping at the camp or in another area off-site. Your role may require training. This RFKC is hosted by Mosaic Church (formerly Family Life) - 1675 Wallace Rd NW, Salem OR.
Camp Dates: July 13-17, 2026 (camp set-up, July 12)

All information is held strictly confidential. This form must be completely filled out. The info on this form is vital to your acceptance and possible placement as a part-time volunteer. Thank you for applying as a volunteer in this fun and valuable ministry.
Part-Time Volunteer Information
Choose one:*

This is my first time to serve at a Royal Family KIDS CampI have served at Royal Family KIDS Camp(s) in other cities or statesI have served at this specific Salem RFKC previously
Name*

First NameLast Name
Preferred Name (if different)
Today's Date*

MonthDayYear
Date
Gender*

MaleFemale
Current Age*
Must be at least 16 yrs old to be a volunteer at camp.
Date of Birth*

MonthDayYear
Date
Marital Status
Occupation
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Do we have permission to text or call the number provided?*

YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
If you're new to Salem RFKC, how did you hear about us?

A FriendSocial MediaWebsiteChurchPersonal ConversationSchoolOther
Have you received certification in any of the following?

CPRLife GuardFirst AidEMTNurseCounseling or Therapy
What is your desired part-time position this year? (At the camp with the kids)

Face PaintingBirthday Set UpRoyal Store (1 day)Woodworking ProjectGrandparentsSnack Crew for StaffPhotographer/VideoLifeguardFishingField ActivitiesCrafts/Art CenterLogisticsDress Up - NailsSet up/Tear Down
What is your desired part-time position this year? (In other areas)

Loading SaturdayBlanket MakerLunch Team (Training Day)Fundraising TeamBreakfast Team (Monday am only)Welcome Home Dinner (Friday only)Prayer TeamCamper Registration (Monday am only)
Is there another position or skill set that you would be interested in this year?
If your volunteer position has contact with children, you will be asked to participate in a short in-person training session. Is this something you are willing to do?

YesNo
Medical History

Camp can be physically tiring or even exhausting. The facility or activities may require volunteers to manage uneven terrain, be at a high altitude, hiking, climbing, running, swimming, lifting, stairs, exposure to severe weather, or other strenuous activities depending on the volunteer position.
Do you have any medical conditions or concerns, or are you taking medications that you believe could prevent you from being an effective volunteer? (This information helps us prepare for any support you may need.)*

YesNoNot present at camp
If yes, please describe.
If your volunteer role includes meal times at camp, do you have any food allergies or limitations?*

Yes - I have dietary restrictionsNoI will not be at camp during meal times
If yes, please describe nature, severity, and if you require epi-pen, etc.
Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Relationship*
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Personal References (Required for First-time Volunteers)

Please notify your references that they will be contacted via email or phone. Your application will not be processed until all references have been checked. **No former employers or relatives.**
Reference #1 Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Reference #2 Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Personal Profile
Have you committed your life to Jesus Christ?*

YesNo
Where and when?
What church do you presently attend?
How long have you attended?
Pastor's Name

First NameLast Name
Pastor's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Pastor's Email
example@example.com
Please describe any previous experience working with children and/or working with children who have experienced abuse or neglect.*
The camp location and information about campers is kept in confidence for camper safety. You will be expected to maintain confidentiality as instructed by camp staff. Do you agree to safeguard confidential information?*

YesNo
Social Security Number

** Your full social security number will be required separately to obtain a criminal background check through Sterling Volunteers if it is required for your position. If required, the background check will be emailed to you and the RFKC Team will let you know ahead of time.
Criminal Background

If your records have been expunged pursuant to applicable law, you are not required to answer yes to the following questions. If you are unsure whether to answer yes, we strongly suggest that you answer yes and fully disclose all incidents to avoid risk of falsification, misrepresentation, or omission of the facts.
Have you ever been convicted of or pleaded guilty to any crimes (including crimes of record which have been expunged and pleas of 'no contest'), including municipal, state, and federal?*

YesNo
Have you ever been placed on probation, received a Suspended Execution, Suspended Sentence, or Suspended Imposition of Sentence for any offense involving a minor (a child under 18), or been placed on ANY local, state, or federal sexual registry?*

YesNo
Have you ever been sued in a civil court of law where the allegations in the suit involved illegal, inappropriate, or sexual conduct or contact with a minor?*

YesNo
Have you ever been subject to any court order involving any sexual, physical, or verbal abuse including but not limited to any domestic violence or civil harassment injunction or protective order?*

YesNo
Have you ever resigned, been terminated, or been asked to resign from a position, whether paid or as a volunteer, due to a complaint(s) of sexual, physical, or verbal abuse of minors?*

YesNo
Representations and Release

If YOU are struggling with a sexual attraction to children, please opt out of service in the church's Royal Family KIDS Camp or any other child-serving organization and seek help. One option is: "Hope for the Heart" at (800) 488-HOPE (4673) or www.hopefortheheart.org.
Representations and Release*

I understand that for the church to carry on a Royal Family KIDS Camp, it has had to agree to abide by certain policies and parameters established by RFKC, including strict policies against any form of child abuse, and that violation of these policies may be cause for dismissal. Child abuse is punishable by law, and the church is bound by law to report allegations of abuse or any inappropriate sexual contact to the proper authorities. ALL reporting is kept confidential, by law. All volunteers must commit to immediately report any behavior that seems suspicious, questionable, abusive, or inappropriate between: child-to-child, volunteer-to-child, and volunteer-to-volunteer.I understand that I will be required to submit to a background check as a condition of acceptance as a volunteer, and that unsatisfactory results, refusal to cooperate, or any attempt to affect the results of these background checks will result in me being removed as a volunteer or volunteer applicant.I hereby certify that all of the information provided by me in this application (or in any other accompanying or required documents) is correct, accurate, and complete to the best of my knowledge. I understand that the falsification, misrepresentation, or omission of any facts in these documents may (or will) be cause for the denial of acceptance as a volunteer, or immediate removal as a volunteer, regardless of the timing or circumstances of discovery.In consideration of the receipt and evaluation of this Application by the sponsoring Church, I hereby authorize you to contact any references, churches, youth groups, schools attended, former and present employers, charities, courts, and any other person, agency, or organization that may have information about me, and for them to provide to you such information (including opinions) that they may have regarding my character and fitness for working with children.I hereby release any such references, churches, youth groups, schools attended, former and present employers, charities, courts, and any other person, agency, or organization who may have provided information about me, including record custodians, both collectively and individually, from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply with this authorization.I also agree to hold RFKC, the sponsoring church, RFKC Leadership, and any other person to whom the release above applies, harmless from any damages, specifically including attorney fees and court costs, created by or relating to my unwarranted attempt to collect damages for providing information described above or any other unwarranted action by me in connection with this Application. I waive any right that I may have to inspect any information provided about me or by any person or organization identified by me in the Application process.In addition, I hereby release, and agree that I, my successors, assignees, heirs, guardians, and legal representatives will not make any claims or take any legal actions against RFKC or any of its affiliated organizations, or its officers, directors, employees, agents, or volunteers ("Released Parties"), for my injury, death, damage, or loss, however caused, arising from or in connection with my participation in RFKC activities, with the exception of my injury, death, damage, or loss as the direct result of illegal or grossly negligent acts by RFKC, and I will hold the Released Parties harmless from any costs or loss, including attorney fees and court costs, arising from or in connection with my activities in violation of these provisions.I understand that submission of an application does not guarantee my acceptance as a volunteer. I further understand that should the church extend an offer to me as a volunteer, it is for no specific duration and may be revoked by either the sponsoring church, or me at any time, with or without cause.I understand that none of the documents, policies, procedures, actions, statements of RFKC, the sponsoring church, the RFKC Leadership, or their representatives and agents used during the volunteer application process is deemed an offer for a contract or in fact a contract, real or implied. If accepted as a volunteer, I agree to conform to the rules, regulations, policies, and procedures while serving as a volunteer, and understand that such compliance is a condition of remaining a volunteer.All Royal Family KIDS Camps are operated as a ministry of a local Sponsoring Church or in conjunction with a local non-profit organization. As such, all volunteers will fall under the authority of the Camp Leadership as trained by the RFKC National Office and under the authority and beliefs of the Sponsoring Church. The Sponsoring Church may or may not require membership or attendance of their church, but all volunteers need to understand that church leadership has authority over the operations and expectations of the RFKC camp and the churches beliefs will inevitably be evident in the selection process and operation of the RFKC as a ministry of their church.
Acknowledgement:*

I have carefully read the above Application and this Acknowledgement and Release and know and understand its contents; I also know the above is legally binding on me. I sign this Application and Release of my own free will.
Typed Electronic Signature: *

First NameLast Name
Today's Date*

MonthDayYear
Date
This Royal Family KIDS Camp is hosted by Family Life: 1675 Wallace Rd NW, Salem OR
Should be Empty:

Part-Time Volunteer Application 2026

Camp Dates: July 13-17, 2026 (camp set-up, July 12)

Part-Time Volunteer Information

Medical History

Emergency Contact Information

Personal References (Required for First-time Volunteers)

Personal Profile

Social Security Number

Criminal Background

Representations and Release

This Royal Family KIDS Camp is hosted by Family Life: 1675 Wallace Rd NW, Salem OR