2023 Part-time Volunteer Application
CAMP DAVID KANSAS
Full Name
*
First Name
Last Name
Age
*
Birth Date
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Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
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Angola
Anguilla
Antigua and Barbuda
Argentina
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Aruba
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The Bahamas
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Belize
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Christmas Island
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Cook Islands
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Cote d'Ivoire
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Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
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Equatorial Guinea
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Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
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The Gambia
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Germany
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Guadeloupe
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Liberia
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Lithuania
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Mali
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Martinique
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Mayotte
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Montserrat
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Nagorno-Karabakh
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Nigeria
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Turkish Republic of Northern Cyprus
Northern Mariana
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Pitcairn Islands
Poland
Portugal
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Republic of the Congo
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South Ossetia
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eSwatini
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Other
Country
E-mail
*
Social Security Number
*
For Background Check only
Home Phone
*
-
Area Code
Phone Number
Work/Cell Phone
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Area Code
Phone Number
T-Shirt Size (all sizes listed are adult sizes)
*
Please Select
S
M
L
XL
XXL
XXXL
Marital Status
*
Please Select
Single
Datine/Courting
Engaged
Married
Divorced
Do you have any children age 12 or younger?
*
Yes
No
Would any of these be part of the Day Camp program?
*
Yes (please provide child's name & age below.)
No
Child's Name
First Name
Last Name
Age
Child's Name
First Name
Last Name
Age
Child's Name
First Name
Last Name
Age
Child's Name
First Name
Last Name
Age
If more than 4 children, please provide other children's names & ages here:
What position(s) are you volunteering for at Camp David?
*
Kitchen Helper
Maintenance Help
Craft Leader
Driver- Camper Transportation
Morning Activities Assistant
Office Helper
Nurse
Store Clerk
Teacher for a class
Lifeguard
Other part-time position
If you selected Teacher for a class or Other please specify what you would like to do.
I can help for a full camp week Monday thru Friday.
*
Yes
No
If you can't work a full week which days work best for you?
Monday
Tuesday
Wednesday
Thursday
Friday
If you are working in the kitchen what shift would you prefer?
Please Select
Morning
Afternoon
Both
Either
Will you need housing?
*
Please Select
I plan to go home each night
I am out of town and will need lodging
Which camp(s) would you like to serve at?
*
LeadershipTraining - May 29- June 2
Staff Training - June 4-9
Teen Boys' Camp - June 11-16
Teen Girls' Camp - June 18-23
Junior Boy's Camp 1 - June 25-30
Leaders in Training Wk- July 3-7
Junior Girl's Camp 1- July 9-14
Junior Boy's Camp 2 - July 16-21
Junior Girl's Camp 2 - July 23-28
Staff Debrief & Reset - July 30-August 1
References
Please list 2 references (one family member and one professional) that we may contact:
Reference Name A
Reference E-mail A
Reference Phone Number A
-
Area Code
Phone Number
Reference Name B
Reference E-mail B
Reference Phone Number B
-
Area Code
Phone Number
Education & Employment
Highest Academic Level Completed
*
Jobs you had over the past 3 years:
*
Personal & Spiritual Walk
Please answer the following questions to the best of your ability. Answers will be kept confidential.
I attend church
Yes
No
Searching
If yes, church name:
Pastor's Name:
I understand the mission for Camp David International is to provide a Christian Camp where one can experience love, find hope, and grow in a relationship with Jesus Christ.
Yes
No
I have read the Statement of Faith for Camp David (found on the Purpose/Mission Statement) of the website)
I agree with the Statement of Faith
I do not agree with the Statement of Faith
I do not fully agree with the Statement of Faith, but am willing to show respect to it during my time of service.
Why do you want to volunteer at Camp David?
*
Skills & Experience
Are you certified in:
First Aid
CPR
Lifeguarding
If you are certified in any of the above areas, please list the expiration dates of these certifications:
Describe your previous experience in the areas you are volunteering for:
*
Emotional Health & Background
The following questions are to help Camp David protect its staff and campers. We understand that the answers to these questions may be private and deeply personal, and we will protect your privacy.
Have you ever experienced any significant physical or emotional stresses within the past year, such as the loss of a parent, spouse, or child, extreme ill health? If so, explain briefly explain.
*
Have you ever physically or sexually abused a child?
*
Has anyone ever accused you of abusing a child?
*
Medical Information:
Emergency Contact
Phone Number
-
Area Code
Phone Number
Do you have any allergic reactions to food, drugs, or insect stings?
Yes
No
If so, please describe:
Do any of these affect you:
Epilepsy
Diabetes
Asthma
Do you have any medical conditions that might effect your time of service?
Commitment and Release
This is a serious commitment. Please ask God to help you overcome any obstacles that may arise in order to be able to fully carry out your commitment.
I am committed to serving at Camp David with all my heart and energy for the full time of service. The only thing that will keep me from this commitment would be a serious health issue or a family emergency.
I accept the risks involved in camp activities and do hereby release Camp David, and all staff and volunteers, from any and all claims for injuries or death sustained by me or my family, whether such injury occurs on or off the camp property.
I will uphold Camp Policies and respect the leadership of CDI.
I give permission to Camp David to use camp pictures or videos including myself in promotional and sponsorship material.
I understand that Camp David is not responsible for lost clothing or personal property while I am at camp.
I hereby state that I am 18 years or older, and I authorize the release of any criminal history record information to Camp David International.
Yes
No
By typing my name in this box, I agree to the above statements:
*
If applicant is under 18 years old, a parent must type their name in this box to give consent:
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