Youth Camp Staff App Logo

  • 2025 Virginia Church of God

    Youth Camp

    Volunteer Application

  • Staff Application Deadline is May 1, 2025.

    Applications received after this date will only be accepted if we are in need of additional staff. Applications submitted after the deadline will not receive a camp shirt.

  • Before you begin please read the camp information packet by clicking here.

    (***You only need to read the sections in the areas that you are interesting in serving.***)

    Requirements for youth camp volunteers:

    • Committed Christian
    • 16 years of age or older (cabin leaders must be 18 or older)
    • Regular attender of a Church of God congregation
    • Endorsement by local pastor
    • Agree to and pass a background screening
    • If under 18 years of age you must submit a written endorsement from a school teacher or employer

    Your application is subject to approval of the Camp Administrator and the Virginia Church of God Youth and Discipleship Board.

    Please make sure that CAPS LOCK is off.

    While no one is rejected to work or attend Church of God youth camp on the basis of race, color, or creed, the state director of Youth and Discipleship and camp officials reserve the right to accept or reject any application for volunteer work at camps after review of said application reveals that the services of the applicant would not be in the best interest and success of the camp. This application is given every consideration, but its receipt does not imply that the applicant has been accepted as a worker. Applicants are accepted on a trial basis and if, in the final judgment of the camp officials, it is found that the applicant/staff member is not adaptable to the assignment and cannot be reassigned, or that the information given has been misrepresented, the acceptance of this application can be terminated without other cause or reason. In addition, investigation will be made as to your character, general reputation, personal characteristics, and adaptability to the particular position assigned. All applicants are required to undergo training and orientation provided by the State Youth Director’s office and under the supervision of the State Youth Board. Applicants are not required to provide information which is prohibited by Federal, State, or Local law.

    Fields designated with a * are required.

    This application provides a function for the uploading of a copy of your health insurance card. If you would like to utilize this function simply scan the front and back of the card or take a picture of it. Save that file to your computer and then attach it to the application when requested. Acceptable file types are PDF, JPEG, PNG and GIF.

    After clicking the SUBMIT button at the bottom of the application wait for the confirmation message to appear. Print the confirmation screen for your records. You will also receive a confirmation email at the address you specify.

    • Volunteer Application 

    • APPLICANT INFORMATION


    •
    • Upload a File
      Drag and drop files here
      Choose a file
      Cancelof

    • AVAILABILITY

    • Specify which camp(s) you are available to work on and choose your top three staff positions you would like to fill during the week.

      High School (Ages 14-18) June 30- July 4, 2025

      Middle School (Ages 11-13) July 7-11, 2025

      Elementary School (Ages 6-10) July 14-18, 2025

      I understand that this is a request and not a definite assignment. The camp leadership team will make assignments according to the best interest and success of the camping program.

    • If you are a nurse or certified lifeguard, please enter your credentials in the box below.

    • BACKGROUND AND EXPERIENCE

    • Other church name 
    • Other church end 

    • Pastors Recommendation

      A pastor recommendation is required to ensure your dedication to and understanding of the values and mission of our church youth camp.

    • Spiritual Experiences

    • WB Splitter 
    • Sanctification Splitter 
    • HS Splitter 
    • Membership Splitter 
    • Minister Splitter 
    •  

    • REFERENCES

    • Secondary Reference 

    • The pastor of the local Church of God congregation that you identified above will be contacted as your primary reference. If you are under age 18 you must provide information from a secondary reference. The secondary reference must also provide a written endorsement which can be attached to this form or sent directly to the Youth Camp Office at PO Box 7547, Roanoke, VA 24019.

    • Upload a File
      Drag and drop files here
      Choose a file
      Cancelof
    • Secondary reference end 

    • EMERGENCY CONTACT INFORMATION

    • MEDICAL INFORMATION

    •  
    • Upload a File
      Drag and drop files here
      Choose a file
      Cancelof
    • Parental Consent 

    • If volunteer is under the age of 18 a parent or guardian must complete the following medical consent section.

    • In the event that my child requires medical attention, I hereby give consent for the camp officials to seek assistance.

    • Clear
    • Parental Consent Stopper 

    • HIPAA STATEMENT

    • Federal and Statelaws and regulations mandate patient confidentiality. Releasing medical information without proper authority may result in liability for, among other things, violations of the Health Insurance Portability and Accountability Act (”HIPAA”) regulations relating to this statute, invasion of privacy, defamation (harming the reputation), libel, or slander. Violations of HIPAA, or defamation may result in criminal as well as civil action or monetary penalties. Charges for breaking these laws range from misdemeanors to felonies. Penalties for breach of patient confidentiality range from paying a fine to incarceration in a correctional facility.

       All employees, students, vendors, and/or volunteer shall be expected to observe the strict confidentiality concerning patients even after his/her relationship with Virginia Church of God Youth Camp ends.

      Breach of confidentiality is defined as unauthorized use, discussion or release of confidential information regarding patients either identity, and or their hospital records.This violation of personal conduct justifies immediate termination of employee/student/vendor/volunteer status without regard to the employee’s/student’s/vendor’s/volunteer’s length of service or prior record or conduct.

      By acknowledging below, I certify that I understand the importance of maintaining patient confidentiality and that I agree to abide by the privacy policies and procedures adopted by Virginia Church of God Youth Camp. 

    • APPLICANT'S STATEMENT AND RELEASE

    • The information contained in this application is correct to the best of my knowledge. I authorize any references or churches listed in this application to give any information (including opinions) that they have regarding my character and fitness for youth camp work. In consideration of the receipt and evaluation of this application by the Church of God, I hereby release to any individual, church, youth organization, charity, employer, reference, or any other person or organization including record custodians, both collectively and individually, from any and all liability for damages of whatever kind or nature which may at this time result to me, my heirs or family, on account of compliance or any attempts to comply with this authorization. I waive any right that I have to inspect information provided about me by any person or organization identified by me in this application.

      I hereby consent for the State Director’s office to seek from local law enforcement any information which pertains to any record of conviction contained in its files or in any criminal file maintained on me whether local, state, or national. I hereby release the local or state police department from any or all liability resulting from such disclosure.

      Should my application be accepted, I agree to be bound by the bylaws and policies of the Church of God and to refrain from any unscriptural conduct in the performance of my services on behalf of the church. I also agree to participate in the training and enhancement programs provided by the State Youth and Discipleship Director’s Office in preparation of my participation this summer.

      In the event of an accident or serious illness, I hereby give my consent for diagnosis or treatment to be rendered to me by qualified medical personnel, both on and off campus, should such action be necessary in the opinion of camp officials.

      I further state that I have carefully read the foregoing release and know the contents thereof and I sign this release as my own free act.

       

    • Clear

    • BEFORE YOU HIT SUBMIT

      Once you hit submit, you will see a Thank You page. If you do not see the Thank You page, your application probably did not go through. Check your email (and SPAM folder) to see if you receive a confirmation email. If you did not receive a confirmation email, your application did not go through. You will need to resubmit. If you have any questions, contact us at yd@vacog.org

    • Should be Empty: