Camp Agape Volunteer Application Form

Camp Agape Volunteer Application Form
Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Age*
Date of Birth*

MonthDayYear
Date
Gender*
T-Shirt Size*
Do you have any experience working with children? Please explain below.*
Skills

ChildcareFirst AidTeachingSpecial Needs ExperienceWorship Leader/MusicianLife Guard CertifiedOther
Which group(s) would you prefer to work with? Check all that apply.*

Intro Camp Weekend (1st - 3rd graders) May 30 - June 1Explorers (3rd - 5th graders)Pathfinders (6th-8th graders)Adventurers (9th-12th graders)
Are you connected to a church community? If so, please give the name of the church.
Have you ever been removed from or asked to leave a leadership position in an organization due to allegations regarding your personal conduct or behavior? Put N/A if no. Explain if yes.*
Have you ever been arrested for a criminal offense (other than minor traffic violations) N/A if no. Explain if yes.*
Have you ever been investigated for, accused of, or charged with abuse or neglect of a minor child? N/A if no. Explain if yes.*
Right click on the image above, save the image and print it. Complete the form. When you are finished, take a picture or scan the form and upload it to this page, or email it to campagapefrc@gmail.com
Upload Background Check Form

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Any other skills or information that we should know about you?
Acknowledgement of Information*

I affirm that the information contained in this application is true and accurate to the best of my knowledge and belief.
Name*

First NameLast Name
Date of Signature*

MonthDayYear
Date
Should be Empty: