Camp AN Workers Application

Workers Application

Thank you for your interest in serving at Camp AN. Please complete the application below and click SUBMIT at the end. Note: *Required fields must be filled out before the form is submitted.
Name*

First NameLast Name
Birthday *

MonthDayYear
Date
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Have you served at Camp AN before? If yes, please briefly describe the role(s) or capacity in which you served.*
Are you affiliated with any church, group, or organization that is participating in Camp AN this year? If so, please list the name(s) below.*
Do you have any medical conditions or allergies/food restrictions that we should be aware of? *
If you answered yes, please describe any medical conditions or allergies/food restrictions you may have. If you answered no, just type none.*
Team Leader's Information

Please provide the name, phone number, and email of the leader from your church, group, or organization. If you are not traveling with a team, please enter in your own personal information.
Leaders Name*

First NameLast Name
Leaders Phone Number*
Please enter a valid phone number.
Leaders Email Address*
example@example.com
Which area are you willing to come and serve with?*

Setup TeamConstruction TeamCamp Nurse (Must be qualified and approved)Kids Week (Coach)Teen Week (Coach)Kitchen CrewAnywhere I am NeededUnsure. I would like to discuss possible opportunities.
Briefly describe the area(s) of ministry you’d like to serve in, along with any relevant experience, skills, or training. This helps us place you where you’ll be most effective.*
Please note: While we do our best to place you in the area where you feel most comfortable, we ask that all team members remain flexible. At times, unexpected needs may arise, and you may be asked to serve in a different area of responsibility.
Background Screenings
All Camp AN volunteer workers are required to complete a Volunteer Screening Form and receive approval through the Alaska Ministry Network. Please click the link below and locate the form under the "Resources" tab.

NOTE: This Jotform must be submitted BEFORE you submit your Screening Form to the Network.

Alaska Ministry Network
Are you willing to submit a Volunteer Screening Form to the Alaska Ministry Network?*

YesNo
Is there any reason why your screening form may not be approved? *
Please answer honestly. These forms are confidential.
Extra Missions Insurance Coverage

Please read and agree to the information below about extra insurance coverage.
All volunteers and teams serving at AKMN camps, including Camp Agaiutim Nune (Camp AN), are required to carry short-term trip insurance through Mission Assure.

This coverage is essential, as it includes benefits such as emergency medical evacuation and accidental medical expenses.

The cost is just $2.50 per person, per day. To enroll, visit the Alaska Ministry Network website, click on the “Resources” tab, and select “Mission Assure.”

Once your insurance is secured, please forward your confirmation receipt to the Camp AN director.

Thank you for helping us prioritize safety and preparedness!
Are you willing to purchase short-term trip insurance through Mission Assure?*

YesNo
Please list any other questions you may have about Camp AN.
Please Upload Current Picture

Adding a photo helps our team recognize you and put a face with a name. This is completely optional but greatly appreciated. This photo is for internal use only and will not be shared.
Cancelof
Thank you for your interest in serving at Camp AN! We’re excited about the possibility of partnering with you. Once you’ve submitted your completed form, a team member will reach out to schedule a Zoom or conference call to connect, answer any questions, and share more details. We look forward to working together!
Should be Empty:

Workers Application

Team Leader's Information

Background Screenings

Extra Missions Insurance Coverage