Minor Volunteer Application 2024

Thank you for applying to volunteer at Harvest Christian Camp! A Parent/Guardian must sign the release portion of this Application.

Volunteer Information

Volunteer Name

Address

This address will receive a confirmation email

Home Phone

Mobile Phone

Age

Date of Birth

Gender

Male Female

Do you have a valid driver's license or state ID?

Yes No

Driver's License / State ID Number

State/County ID was issued

Are you currently insured?

Yes No

If yes, with whom?

Family Information

Parent/Guardian's Name

Relationship

Parent/Guardian's Email

This address will receive a confirmation email

Parent/Guardian's Phone

Medical Information

Health Insurance Name

ID#

Emergency Contact

Emergency Contact Number

Are your vaccinations up to date? (tetanus within last 5 years)

Yes, up to date No, not all are up to date

Are you currently (or have been in past year) under a doctor's, psychologist, or psychiatric care for any reason? If yes, please explain.

Are you currently on any prescribed or over-the-counter medications? Please list below (including inhalers, nebulizers, pain or headache, etc.)

Are you currently taking any prescription or non-prescription drugs that may interfere with your camp duties? (drowsiness, deep sleep, agitation, etc.) If yes, please explain.

Do you have any physical handicaps or conditions preventing you from performing certain types of activities related to children/teen work? If yes, please explain.

List any recent illness, injuries, or hospitalizations.

Do you have any communicable diseases? (including HIV, AIDS, Sexually Transmitted Diseases) If yes, please explain.

Christian Walk

Are you a born-again believer?

Yes No

When and where did you receive Christ into your heart, and how has your relationship with Christ changed your life?

We expect our staff to be examples of Christ in word and lifestyle. How do you feel about your walk with the Lord and the example you portray before others?

Have you received the baptism of the Holy Spirit with the evidence of tongues?

Yes No

How did you hear about Harvest Christian Camp?

Why do you want to volunteer at Harvest Christian Camp?

What would you consider is your greatest strength?

What would you consider is your greatest weakness?

Tell us three words that you would use to describe yourself.

What do you think will be the greatest assets you will bring to HCC?

Have you ever been involved in homosexuality or bisexuality?

Life Experience

List all previous church, or non-church work involving children and teens. (List each church's name and type of work performed.) What was your role and responsibilities?

Church Information

Do you attend church regularly?

Yes No

Church Name

Church Address

Church Telephone

Church Email

Pastor's Name

Pastor's Phone

How long have you been attending?

Are you a member of the church?

Does your pastor know that you want to volunteer at HCC?

Yes No

Are you currently a volunteer at your church?

Yes No

In what areas are you involved with your church?

Volunteering Information

Which camp (or camps) are you applying to work at?

Rookie Camp(8 yrs - 5th grade) June 11-14 Junior Camp (grades 6 - 8) June 25-29 Day Camp (ages 4-7) June 18th other

Please Indicate the area / areas of ministry that you have an interest in serving.

Ministry Bunk Leader Bible Teacher Music Team other

Ministry of Helps Maintenance Go Karts Paint Ball Office Janitorial Mowing other

Kitchen Kitchen Worker Snack Shack Worker Late Night Worker other

Are you willing to oversee a workshop? If so please list classes you can teach (dance, woodworking, archery, crafts, sign language, etc.).

Are you wiling to oversee a sports activity? If so check sports you are interested in.

Flag Football Basketball Volleyball Capture the flag Obstacle course Other N/A

Are you interested in being a Bunk Inspector? (They check out the bunk houses each day to grade them on cleanliness & decoration creativity)

Yes No

Are you willing to oversee the running of games (big games or mixers)?

Yes No

Would you be willing to chaperone the swimming fieldtrip?

Yes No

Would you be interested in helping in any of the areas below? Setting up camp MC for services Clean up after camp Other

Criminal History

If you prefer, you may refuse to answer the questions under Criminal History and Criminal Offenses. You may discuss your answers in confidence with the Executive Director and/or Pastor rather than answering in this form. Answering yes or choosing not to answer will not automatically disqualify an applicant from volunteering at camp.

Have you ever been convicted of, pled guilty to, or entered a plea of no contest to any criminal offense?

Yes No Wish to not answer

If yes, state details and dates.

Criminal Offenses

Rape as defined in IC 35-42-2-1

Criminal deviate conduct as defined in IC 35-42-4-3

Child molesting as defined in IC 35-42-4-3

Child exploitation as defined in IC 35-42-4-3

Vicarious sexual gratification as defined in IC 35-42-4-5

Child solicitation as defined in IC 35-42-4-6

Incest as defined in IC 35-46-1-3

Neglect of a dependent as defined in IC 35-46-1-4

Child selling as defined in IC 35-46-1-4

Child seduction as defined in IC 35-42-4-7

By initialing, I affirm under the penalties of perjury that I have never been arrested for, convicted of, or entered a plea of no contest for the above offenses:

If you have ever been accused, arrested, convicted, or entered a plea of no contest for any of the items listed above, explain here.

References

Personal Reference, not relative

Personal Reference Address

Personal Reference Telephone

Personal Reference Email

Pastor or Church Leader Reference

Position or Title

Church Leader Address

Church Leader Telephone

Church Leader Email

Release

This section must be completed by the Parent or Legal Guardian in order for this application to be acceptable.

1. I, as the parent/guardian of the above named volunteer, consent to their participation in the Harvest Christian Camp (HCC) 2024 Summer Camp Season.

I have read and agree to this release.

2. I agree that my child’s participation in Harvest Christian Camp is purely voluntary. I agree not to hold Harvest Christian Camp, House of Prayer Ministries, or any of the officers, staff, or volunteers liable or responsible for any loss or injury sustained in connection with his/her participation in Harvest Christian Camp activities.

I have read and agree to this release.

3. I agree that Harvest Christian Camp shall have the right, but not the obligation to use my Child's photograph, likeness (including caricature), for their website, at any time and for any other purpose or materials the ministry deems necessary. The Child's name will not be used with the photos.

I have read and agree to this release.

4. I acknowledge, for safety reasons, my child/teen cannot leave the HCC property without written permission on file in the office from the camp director.

I have read and agree to this release.

Parent/Legal Guardian's Signature: Please type your first and last name as your signature of this release.

Applicant's Statement

The information contained in this application is correct to the best of my knowledge. I authorize any references or churches listed in this application to give House of Prayer Ministries/Harvest Christian Camp any information ( including opinions) that they may have regarding my character and fitness for children/teen work. In consideration of the receipt and evaluation of this application by House of Prayer Ministries/Harvest Christian Camp, I hereby release any individual, church, children’s organization, charity, employer, reference, or any other person or organization, including record custodians, collectively and individually, from any liability for damages of whatever kind or nature which may result at any time to me, my heirs, or family on account of compliance or attempts to comply, with this authorization. I waive any right that I may have to inspect any information provided about me by any person or organization identified by me in this application.

Should my application be accepted, I agree to be bound by the bylaws and policies of House of Prayer Ministries/ Harvest Christian Camp and to refrain from unscriptural conduct in the performance of my service on behalf of said church/camp. I further state that I have carefully read the foregoing release and know the contents thereof and I sign my release as my own free act. This is a legally binding agreement, which I have read and understood.

Applicant's signature: Please type your first and last name here as a signature to verify this application.

Staff Training Retreat (May 31-June 1)

Yes I will attend. Please contact me, as I am not sure I can make it.

Readable copy of drivers license.

Upload (8MB)

Current photograph of yourself.

Upload (8MB)

HCC CAMPWEAR !

The last weeks of May and June are our T-shirt order dates. Please keep that in mind to be sure we have the size you are needing.

Would you like to purchase an HCC t-shirt?

Adult Small ($10) Adult Medium ($10) Adult Large ($10) Adult XL ($10) Adult 2X ($12.50) Adult 3X ($12.50) No Thank You ($ 0)

Thank you for applying to serve in an important position at HCC!!! Our Staff Coordinator will be in contact with you.

Minor Volunteer Application 2024

Description

Please Fix the Following