Volunteer Application

  • I want more information
Last Name: First Name:
Middle Name: Mailing Address:
Preferred Name:   
City: State:
Zip: Home Phone:
Cell Phone : Email :
T-Shirt size Adult:  SM.   MED.   LG.   XLG.   XXLG.
Gender: Male   Female
Date of Birth:
(Month/Day/Year)		 Driver's License and State:
Name to authorize background check: Other Previous Legal Names:
Have you ever plead guilty to OR been convicted of any criminal offense, other than minor traffic citations Yes    No  
If yes, provide information on criminal offense, date, location (city and state) and disposition.
 I authorize Camp Agape to conduct a background check.
Name : Relationship :
Phone Number(s):    
 Buddy*   Assistant Buddy   Doc/RN**   Office Duties   High School Age Helper/Floater 
 Adult Helper/Floater   Photographer 
*Please be advised that being a buddy requires stamina! You will be with your child 24/7 and participating in all activities. Please keep this in mind when considering what position you will feel comfortable volunteering for.
Name:


 Phone No.


 Relationship:
Would you describe yourself as: (circle) 
If a child expresses loss and is sad and angry I believe it is because:
Please describe your spiritual beliefs:
Would you be comfortable leading a child in a Bible-based devotion? 
Would you feel comfortable leading a small group of 6-8 children in a Biblically-base devotion? 
Have you experienced the loss of a loved one? If so when and what caused the loss?
Please list any military service:
Present occupation, title, years?
Scouting
 Camps
 Church
How did you hear about Camp Agape?
 By submitting this application, I affirm that the facts set forth in it are true and complete.
 
  
 
  
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