Camp Sozo Registered Nurse Volunteer Form

Camp Sozo Registered Nurse Volunteer Form

We are grateful that you are considering using your gifts to care for our campers. As a volunteer nurse, you play a vital role in helping create a safe, loving, and Christ-centered environment where students can grow in their faith and enjoy camp with confidence.Because you will be responsible for the health and well-being of minors, we ask that you complete this application thoroughly. All information will remain confidential and will only be used for volunteer screening and camp operations.
Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Gender
Occupation/Employer
Church Home
Emergency Contact
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Health Information
Do you have any allergies or dietary restrictions?
Do you have any medical conditions we should know about?
Are you taking any medications that my affect your ability to serve? If yes, what are they?

Nursing Credentials

To ensure the safety of our campers, all volunteer nurses must hold an active nursing license in good standing.
What type of nursing license do you currently hold?
State(s) Licensed in
License Number
License Expiration Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Is your nursing license currently active and in good standing?
Have you ever had disciplinary action taken against your nursing license?

Availability

To provide consistent medical care for campers, we ask volunteer nurses to remain on-site throughout the entire camp session
Are you available to stay on-site for the entire camp? August 8-11 2027
Are there any times during camp you would need to leave the property?
Are you comfortable being on-call throughout camp?

Background and Safety
Have you ever been convicted of a felony?
Do you have any pending criminal charges?
Have you ever been accused, investigated, or convicted of child abuse or neglect?
Are you willing to undergo a criminal background check?

Faith and Ministry

Our camp exists to glorify God by helping students know and follow Jesus Christ. Every volunteer helps model Christ's love through their words, actions, and attitude.
Do you have a personal relationship with Jesus Christ?
Please briefly share your testimony
Are you willing to support and uphold the mission and statement of faith of our camp while serving?

References

Please provide one professional reference and one personal or pastoral reference who have known you for at least one year. References may be contacted during the volunteer selection process.
Professional Reference

Ex: supervisor, manager, healthcare colleague
Name

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Personal or Pastoral Reference

Ex: pastor, elder, ministry leader, Bible study leader, mentor, non-family adult
Email
example@example.com
Name

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

Liability & Acknowledgment
"I certify that the information provided is true and complete to the best of my knowledge. I understand that submitting this application does not guarantee acceptance as a volunteer nurse. I agree to comply with all camp policies and understand that camp leadership may remove me from service if necessary for the safety or well-being of campers or staff."
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Health Information