New Staff TRAC Application

Girl's T.R.A.C.: 7/17/2026 to 7/19/2026

Boy's T.R.A.C.: 7/24/2026 to 7/26/2026

Date

MonthDayYear

Name

First NameLast Name

Street

City

Zip Code

State

Cell Phone

Format: (000) 000-0000.

For the cell phone number above do you want to receive SMS messages regarding training and other communications from the Bremerton TRAC Leadership phone number: 1 (877) 571-0088?

Home Phone

Format: (000) 000-0000.

E MAIL

example@example.com

Birth Date

MonthDayYear

Biological Sex:

Marriage Status

Living Situation

NOTE: as part of Teen Reach requirements, all volunteers must be living according to biblical standards of purity.

Emergency Contact

Phone Number:

Format: (000) 000-0000.

T-Shirt Size:

T Shirt Size Other:

Have you ever been abused, neglected, or abandoned?

Have you committed your life to Jesus Christ?

Could you lead a 15-minute devotion for your campers with provided materials?

Which church do you presently attend?

Pastor's Name

Phone

Format: (000) 000-0000.

I have read, agree with, and will comply with the Teen Reach Statement of Faith, Volunteer Standards, and Position Statement.

Yes *Scan the QR code or follow hyperlink:

Statement of Faith

Have you ever been arrested for a criminal offense?

Have you ever been arrested for sexual misconduct?

Have you ever been convicted of sexual misconduct?

Have you ever taken drugs other than those prescribed by you physician?

If you answered "yes" to any of the questions above, please explain

High School

Date of Graduation

College

Date of Graduation

Other

Date of Graduation

Do you have a certification in the following?

Have you previously served at another Teen Reach Adventure Camp program?

If YES, what location was the Teen Reach Adventure Camp? If NO, please put N/A.

Why do you wish to be a volunteer at T.R.A.C.?

Please describe your previous experience working with children or teenagers

Do you have previous raining/experience working with abused, neglected or abandoned children/teens?

If so, how?

Place an "X" next to the words which accurately describe you:

Gentle Sarcastic Kind Considerate

Type a question

List five strengths and weaknesses you have in working with teenagers or children (please be specific):

1.

2.

3.

4.

5.

1.

2.

3.

4.

5.

Can you hike at least 2 miles?

Do you have any medical conditions?

If yes, please explain

Do you take any medications?

Please List:

Rows	Medication	Reason	Possible Side Effects

Please select any food allergies you have or dietary restrictions

References (one professional, one ministry, one personal):

Rows	Name	Email	Phone Number
Professional
Ministry
Personal

I am interested in becoming a mentor.

I certify, under penalty of perjury, that my signature below signifies this information is true and correct to the best of my knowledge. I give permission for T.R.A.C. to request background checks for me to become a staff member/camp counselor for Teen Reach Adventure Camp.

Name (please print)

Signature

Date

MonthDayYear

TEEN REACH ADVENTURE CAMP CAMP COUNSELOR/STAFF APPLICATION