Returning Staff TRAC Application

TEEN REACH ADVENTURE CAMP CAMP COUNSELOR/STAFF APPLICATION
TEEN REACH
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
Date
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.
Email
example@example.com
Birth Date

MonthDayYear
Date
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.
Please List the Church you currently attend:
Do you need or want a new T-Shirt this year? If so, please mark what size below:
T-Shirt Size
Have you ever been abused, neglected, or abandoned?
Do you have a certification in the following?
Have you ever served at another Teen Reach Adventure Camp program?
If YES, what was the location of the Teen Reach Adventure Camp? If NO, please put N/A.
Why do you wish to continue volunteering at T.R.A.C.?
Do you have any medical conditions?
If yes, please explain
Do you take any medications?

Please list:

Please select any food allergies you have or any dietary restrictions

Other
Has anything changed in your life in the past year, personally or professionally?
If yes, please explain:
In the past year, have there been any changes in your legal record?
If yes, please explain:
In the past year, have you been accused or convicted of any sexual misconduct? If
If yes, please explain
In the past year, have you ever taken drugs other than prescriptions?
If yes, please explain:
How has God been growing you over the past year?
I have read, agree with, and will comply with the Teen Reach Statement of Faith, Volunteer Standards, and Position Statement. *Scan the QR code or follow hyperlink.
Statement of Faith
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
Date
Should be Empty:

TEEN REACH