PRINT, FILL IN, AND MAIL TO CAMP DIRECTOR: Marty Davey, P.O. Box 611, Middleburg, FL 32050
There is no fee charged for staff members this year. Thanks for your service!
SEP FLORIDA STAFF VOLUNTEER APPLICATION - 2008
APPLICANT INFORMATION:
FIRST AND LAST NAMES: _____________________________________________________________
ADDRESS:
____________________________________________________________________________________
____________________________________________________________________________________
PHONE NUMBERS: __________________________________________________________________
EMAIL ADDRESS (write clearly): _________________________________________________________
BIRTHDATE: _____________________________________ GENDER: ________________________
T-SHIRT SIZE (circle one): small (34-36) medium (38-40) large (42-44) xlarge (46-48) xxl (48+)
HAVE YOU ATTENDED SEP BEFORE? ______________ YEARS: ___________________________
RECENT YEARS AND LOCATION OF PREVIOUS SEP STAFF EXPERIENCE: _____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
DOES THE APPLICANT REGULARLY ATTEND CHURCH? (circle): YES / NO OR COMMENTS:
_____________________________________________________________________________________
_____________________________________________________________________________________
NAME OF CHURCH, CITY, PASTOR AND PASTOR'S PHONE NUMBER:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
DOES THE APPLICANT HAVE A CONDITION THAT LIMITS OR PROHIBITS APPLICANT'S PHYSICAL ACTIVITY? (circle): YES / NO. IF YES, PLEASE EXPLAIN BELOW OR ON THE BACK. IF NO RESPONSE IS GIVEN, SEP WILL ASSUME THAT APPLICANT CAN ENGAGE IN ALL
SEP-RELATED ACTIVITIES. _____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
WHY WOULD YOU LIKE TO BE A STAFF VOLUNTEER AT OUR SEP?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
IN WHAT CAPACITIES OR POSITIONS WOULD YOU LIKE TO SERVE, AND WHAT ARE YOUR AREAS OF EXPERIENCE OR SKILLS? _____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
REFERENCES:
(please attach one or two letters of recommendation from persons named below, and a
criminal records background check report if we don't already have yours on file)
Name of Pastor: ______________________________________________________________________
Phone number of Pastor: ______________________________________________________________
Other reference, and relationship to you: __________________________________________________
Phone number of second reference: ______________________________________________________
APPLICANT INFORMATION (this supplemental information is required for applicants for volunteer service at SEP whose desired position includes or might include, working with, or in close proximity to minors).
Do you drink alcohol to the point of drunkenness (circle)?: yes / no
Do you use illegal drugs (circle)?: yes / no
Have you ever been arrested for or convicted of a crime (circle)?: yes / no You may exclude certain misdemeanors the law exempts you from disclosure. Conviction will not necessarily disqualify you.
Have you ever been arrested for or convicted of child abuse, child molestation, child neglect, sexual assault, rape, or any other sex crimes, drug crimes or violent crimes (circle)?: yes / no
Have you ever had a civil judgment entered against you or is there a pending complaint against you,
concerning intentional injury against others or your treatment of minors (circle)?: yes / no
Date(s) of arrest/conviction(s): __________________________________________________________
Case numbers thereof: ________________________________________________________________
Location of arrest/conviction(s): _________________________________________________________
APPLICANT CERTIFICATION:
I, the undersigned, hereby agree to donate any and all my time serving as an SEP / Generations
Camp Ministry Staff Volunteer at SEP FLORIDA Youth Camp, voluntarily, without expectation
of payment or compensation, in order to assist the Camp.
If I am accepted as a Generations Camp Ministry volunteer, I understand that all my time is donated of my own free will. Further, I understand that during the time that I serve, I am a volunteer, not an employee, nor do I hold expectations for future employment as a result of my volunteering. I do not expect benefits for which I would otherwise be entitled as an employee. I understand that my room and board will be provided as a courtesy at the Camp site, if accepted. I also understand that if accepted as a volunteer, this service relationship is mutually agreed-upon and is terminable at will by either party. Tentatively, I would like to volunteer my services for the SEP Florida Youth Camp, during June 5-8, 2008.
I am making application for voluntary service with Generations Camp Ministry. I certify that to the best of my knowledge the information provided by me in this application is accurate, complete and without material omission. I authorize Generations Camp Ministry to investigate the statements contained in this application. I also release Generations Camp Ministry and any person, company or institution that provides Generations Camp Ministry with information concerning my background from any and all liability or claims that may result from the investigation, use or disclosure of such information, and/or any damage that may result. I understand that any misrepresentation, falsification, or material omission of information on this application may result in my failure to receive an offer, the withdrawal of an offer, or if I am accepted as staff, in my dismissal from staff position. I understand an
d agree that this certification will become part of the terms and conditions of acceptance if I am offered, and accept a staff position. I acknowledge that acceptance by Generations Camp Ministry is neither guaranteed, permanent, nor for any specified period of time, adn that I may resign, at-will, at any time and Generations Camp Ministry may terminate my staff position, at-will, at any time with or without cause, and with or without prior notice. I understand that this application augments all other applications previously submitted to Generations Camp Ministry by the undersigned applicant. I understand that Generations Camp Ministry does not provide personal medical or health insurance, and that it is my responsibility to provide personal insurance. Generations Camp Ministry may use any photos or videotapes taken of me at any Camp event in their publications or those of their sponsor, the Worldwide Church of God. In keeping with its Christ-centered mission, Cruising For Christ Youth Camp sets high standards of personal conduct. These standards include rules against intoxication or possession of intoxicants, sexual misconduct, use or possession of illegal drugs, stealing, smoking, disorderly conduct, intentional destruction of property, refusal to cooperate with SEP personnel or any conduct or attitudes not in keeping with Christian standards. I understand that staff members who do not abide by the rules and policies of Generations Camp Ministry, or whose conduct or attitude undermines the wholesome, positive, and Christ-centered camp environment, may be dismissed, and their travel arrangements to return home will be made at their own expense.
THE UNDERSIGNED HAS CAREFULLY READ THIS CERTIFICATION AND FULLY UNDERSTANDS
AND AGREES WITH ALL OF THE ABOVE.
______________________________________________ _____________________________
Applicant's signature Date
