RFKC New Staff Application 2026

Camp Staff Application

(New Full-time Staff)

Sponsored by Racine Assembly of God

1325 Airline Rd.

Racine, WI 53406 262-989-0551

Camp Dates

June 14 - June 19, 2026
The following MANDATORY training dates for all applicants:

New Staff April 18, 2026 8:30am - 12:30 pm

All Staff April 25, 2026

8:15 am - 4:30pm

lunch provided
Today's Date

MonthDayYear
Full Name*

First NameLast Name
Nick Name
What you like to be called
Date of Birth*

MonthDayYear
Choose one:*

This is my first time to work at Racine Royal Family KIDS CampI am a returning staff member for the Racine Camp
Home Address*
Street Address
City*
State*
Zip Code*
Please also upload a current photo of yourself (headshot).

Upload a File
especially counselor applicants Cancelof
Gender*

MaleFemale
Current Age*
Marital Status*

SingleMarriedDivorcedWidow(er)
E-mail*
Phone Number: Best one to contact you*

Area CodePhone Number
Occupation*
Name of Employer*
Number of Years At current employer*
Emergency Contact*
Relationship *
Phone Number*

Area CodePhone Number
If You lived in the State of Wisconsin less then 5 years,

List your complete address for the last 5 years
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How Do We Contact You On A Weekly Basis
Your contact choice*

E-mailPhoneCell PhoneText
T-Shirt Size*

Adult-SAdult-MAdult-LAdult-XLAdult-XXLAdult-XXXLOther
Have you received certification in any of the following?

CPRFirst AidLife GuardNurseEMTCounseling or Therapy
Do you have previous background or training in working with children who have been abused or neglected?*

YesNo
If yes, in what way?
Were you a victim of abuse, neglect, or abandonment as a minor?*

noYesYes, but I would prefer to discuss this in person
If yes, please clarify
Please describe why you wish to be a part of Royal Family Kids Camp and work with children of abuse, neglect, and abandonment*
Medical History
Do you have any medical, emotional, or mental health conditions?*

yesNo
If yes, please describe*
"DNA" if does not apply.
Do you take any medications?*

YesNo
If yes, please list medication, reason and any side effects:*
"DNA" if does not apply.
Have you had any serious illness, injuries, or medical operations in the last three years?*

YesNo
If yes, please list:*
"DNA" if does not apply.
Have you had any physical handicaps or conditions preventing you from performing any type of activity?*

NoYes
If yes, please list:*
"DNA" if does not apply.
Do you have any aliergies or food restrictions?*
"DNA" if does not apply.
Education
High School Name*
Date of Graduation*
College
College Major
Date of Graduation
Other Education
Three Personal References .

No former employers or relatives
Name Reference #1*

First NameLast Name
Email Reference #1*
example@example.com
Phone Number Reference #1*

Area CodePhone Number
Address Reference #1*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name Reference #2*

First NameLast Name
Email Reference #2*
example@example.com
Phone Number Reference #2*

Area CodePhone Number
Address Reference #2*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name Reference #3*

First NameLast Name
Email Reference #3*
example@example.com
Phone Number Reference #3*

Area CodePhone Number
Address Reference #3*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Personal Profile
Have you committed your life to Jesus Christ?*

NoYes
Where & When:
What church do you presently attend?*
For how long?*
Pastor's Name*
Please describe any previous experience working with children:*
"DNA" if does not apply.
Please describe any previous experience working with children who have been abused or neglected:*
"DNA" if does not apply.
List five (5) strengths you have in working with children: Please be specific*
List five (5) weaknesses you have in working with children: Please be specific*
Check the words that best describe you.*

AbrasiveAngryCompassionateCongenialConsiderateDeliberateGentleImpatientImpulsiveIntelligentInsecureKindLovingMatureModestMotivatedNervousOrganizedPatientRelaxedSarcasticSecureSelfishStubbornStudiousTactfulTimidTrustworthyVerbal
I would prefer my campers to be:*

7 years old8 years old9 years old10 years old11 years old
Do you feel you could lead a 15-minute devotion with your campers with materials we provide?*

NoYes
I would prefer to be a staff member
Please explain
How do you feel you would be best utilized at camp?*
Have you ever been arrested for a criminal offense?*

NoYes
Have you ever been convicted or plead guilty to a crime?*

NoYes
Have you ever been arrested for sexual misconduct?*

NoYes
Have you ever been convicted of or plead guilty to sexual misconduct?*

NoYes
Have you ever taken drugs other than prescription drugs?*

Noyes
If you answered "yes" to any of the above, please explain:*
"DNA" if does not apply.
I understand that RFK maintains stringent policies prohibiting any form of child abuse. Violation of these policies may result in termination of service. Child abuse is a criminal offense, and RFK is legally obligated to report allegations of abuse or any inappropriate sexual contact to the appropriate authorities. All reporting is strictly confidential, as mandated by law. All volunteers are required to promptly report any behavior that appears suspicious, questionable, abusive, or inappropriate, including interactions between children, staff members, and other staff members.
Print initials*
I acknowledge that as a condition of my volunteer acceptance, I am required to undergo a background check. Any unsatisfactory results, refusal to cooperate, or any attempt to influence the outcomes of these background checks will result in my removal as a volunteer or volunteer applicant.
Print initials*
I hereby certify that all information provided in this Application (or any accompanying or required documents) is accurate and complete, to the best of my knowledge. I understand that the falsification, misrepresentation, or omission of any facts in these documents may result in the denial of acceptance as a volunteer or immediate removal from the volunteer program, regardless of the timing or circumstances of discovery.
Print initials*
In consideration of the receipt and evaluation of this Application by the sponsoring Church or RFK Camp Leadership, 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 RFK, the sponsoring church and RFK Camp Leadership harmless from any damages created by my unwarranted attempt to collect damages for providing information described above. 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.
Print initials*
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, RFK 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 RFK activities, with the exception of my injury, death, damage or loss as the direct result of illegal or grossly negligent acts by RFK, 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.
Print initials*
I understand that submission of an application does not guarantee me acceptence 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 (directors) at any time, with or without cause.
Print initials*
I understand that none of the documents, policies, procedures, actions, statements of RFK, the sponsoring church, the RFK Leadership or their representatives and agents used during the volunteer application process is deemed a contract, real or implied. If accepted as a volunteer, I agree to conform to the rules, regulations, policies, and procedures of RFK while serving as a volunteer, and understand that such compliance is a condition of remaining a volunteer.
Print initials*
Image Consent: By applying for RFK, I consent to my image being used for RFK purposes, including promontioal purposes.
Print initials*
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 RFK 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 RFK Camp and the church's beliefs will inevitably be evident in the selection process and operation of the RFK Camp as a ministry of their church.
I have carefully read the above Application and this Acknowledgement and Release, and know and understand its contents; I also know the above is a legally binding agreement. I sign this Application and Release of my own free will.
Signature

Clear
Did you add the Mandatory New Volunteer Training on April 18, from 8:30 am - 12:30 pm to your calendar?*

Yes
Did you add the Mandatory All Volunteer Training on April 25, 8:15 am - 4:30 pm to your calendar?*

Yes
Thank you for your interest in being a part of the Racine RFK Team!
Should be Empty:

If You lived in the State of Wisconsin less then 5 years,

How Do We Contact You On A Weekly Basis

Medical History

Education

Three Personal References .

Personal Profile

Thank you for your interest in being a part of the Racine RFK Team!