Long Term Volunteer Form

Application for Long-Term Volunteering at Warm Beach Camp

Residential stay longer than 1 month
Applicant Information
Applicant's Name *

First Name Middle Name Last Name
Date of Birth *

Month Day Year
Date
Spouse's Name

First Name Middle Name Last Name
Date of Birth

Month Day Year
Date

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Email *
example@example.com
Phone Number *

Area Code Phone Number

In Case of Emergency *

Name
E-mail
Phone	Phone
Relationship	Country

Describe when and how often you would like to volunteer: *
Please define expected arrival date, length of stay, If both you and your spouse will be volunteering, etc... *

RV details *

Make/Model
Utilities needed
Length/Width with slides	State / Province
Slides/Side of Slides	Country

Special considerations/accommodations Warm Beach Camp (WBC) should be aware of?
Skills, Training and Experience
What has been your "Life Occupation(s)?" *
Describe the experiences, skills, or qualifications which you believe especially fit you for you work at WBC: *
Briefly describe the type of work you'd like to do and which would best use your background and experience: *
List below all present and past employers beginning with your most recent:
Please include dates of employment
Skills

Please indicate your interest and/or level of expertise in the areas below.

Accomodations- General Cleaning, Bed making, Laundry

	1	2	3	4	5

1 is Helper, 5 is Professional

Sewing/Mending

	1	2	3	4	5

1 is Helper, 5 is Professional

Office- Computer Knowledge(Microsoft Office), Data Entry

	1	2	3	4	5

1 is Helper, 5 is Professional

Food Service- Host, Set/Clear Tables

	1	2	3	4	5

1 is Helper, 5 is Professional

Grounds- Weeding, Planting Flowers, Mowing, Pruning

	1	2	3	4	5

1 is Helper, 5 is Professional

Construction- General Construction

	1	2	3	4	5

1 is Helper, 5 is Professional

Wood Working/Finish Work

	1	2	3	4	5

1 is Helper, 5 is Professional

Mechanical- Automotive, Small Engines, HVAC

	1	2	3	4	5

1 is Helper, 5 is Professional

Horsemanship- General Stable Chores, Feeding, Leading, Riding Help

	1	2	3	4	5

1 is Helper, 5 is Professional

Specific Skill not listed
Example- Welding, Music, Recreation, Teaching, etc...
Additional Comments:
References

Please include a character reference as well as a employment reference.
Reference 1:
Name
Phone Number

Area Code Phone Number
E-mail
Reference 2:
Name
Phone Number

Area Code Phone Number
E-mail
Mission

I understand that if I volunteer and if any statement herein is not true, I may be released immediately.

I understand that if I volunteer, I will be required to abide by all Camp policies, standards, and regulations.

I hereby authorize Warm Beach Camp and Conference Center to contact all prior employers and any references listed herein to verify all information provided and to obtain any and all information related to my character and past work performance. I further hereby release all references and prior employers from any liability for information provided in good faith.

I hereby affirm that I have carefully read and agree with Warm Beach Camp and Conference Center’s Statement of Faith and Mission, which can be found at https://www.warmbeach.com/mission. I understand that, if at any time I no longer agree with the Warm Beach Camp Statement of Faith or I exhibit conduct which is contrary to the Mission, or I fail to meet the minimum requirements of the position, I may be disqualified from volunteering.

I affirm that I have neither been convicted of nor am I the subject of, pending charges for any offense involving actual or attempted child abuse or sexual molestation in any jurisdiction.

I recognize that as a condition of my volunteering, I will be required to consent to Warm Beach Camp and Conference Center criminal records check from the Central Criminal Records Exchange or other appropriate federal and/or state law enforcement agency and I consent to do so, realizing the importance of promoting the Employer’s ability to protect its workers and those whom it serves.
Background Investigation Consent/Release of Liability

I hereby authorize Warm Beach Camp and Conference Center (the Camp) and/or its agents to make an independent investigation of my background, references, character, past employment, education, criminal or police records, including those maintained by both public and private organizations and all public records for the purpose of confirming the information contained on my Application and/or obtaining other information, which may be material to my qualifications as a volunteer or for employment now, and if applicable, during the tenure of my volunteering or employment with the Camp.

I release the Camp and/or its agents and any person or entity, which provides information pursuant to this authorization, from any and all liabilities, claims, or lawsuits in regards to the information obtained from any and all of the above referenced sources used.

I hereby affirm and acknowledge, by signing immediately below, that all of the information provided and all of my answers to the foregoing questions are true and complete, and that any misrepresentation or omission may be grounds for rejection or dismissal.
Signature *

Clear
Should be Empty: