Name: Date DD/MM/YYYY: Street Address: E-mail: City: Phone xxx-xxx-xxxx: State: Zip: BirthDate DD/MM/YYYY: PLEASE LIST THE NAMES AND PHONE NUMBERS OF TWO PEOPLE TO NOTIFY IN CASE OF AN EMERGENCY: Name: Phone xxx-xxx-xxxx: Name: Phone xxx-xxx-xxxx: CHECK THE WEEKS YOU WILL BE ABLE TO HELP Winter Camps Teen Retreats Summer Camps PLEASE CHECK THE POSITION IN WHICH YOU WOULD BE WILLING TO HELP
::::::::::::::::::::::::Select Position:::::::::::::::::::::: Cook's Assistant Craft Leader Camp Chief Archery Instructor Recreation Director Camp Cook Jr Staff Counselor Counselor In Training Medical Staff Bible Teacher or Missionary Please list the names of three people (one should be your pastor, the other two should be people in your
community who have known you for at least 1(one) year i.e. teacher, coach, school counselor, business
leader, employer etc. who would recommend you for the volunteer position you have checked above. THIS IS A REQUIREMENT BY THE STATE OF COLORADO. INCOMPLETE
APPLICATIONS WILL BE RETURNED SO THEY CAN BE FILLED OUT COMPLETELY. Recommendation references: Name: Phone xxx-xxx-xxxx: Street: City: State: Zip: Position In Community: Years Known: Name: Phone xxx-xxx-xxxx: Street: City: State: Zip: Position In Community: Years Known: Name: Phone xxx-xxx-xxxx: Street: City: State: Zip: Position In Community: Years Known: CHURCH YOU ARE CURRENTLY ATTENDING: Street: City: State: Pastor Name: Phone xxx-xxx-xxxx: WORK AND OR VOLUNTEER HISTORY
Please list any work or volunteer positions you have served in that have dealt with children, along with
the dates of those positions. FELONY CRIME STATEMENT: I VERIFY THAT I HAVE NEVER BEEN CONVICTED OF A FELONY, INCLUDING CHILD ABUSE. This Electronic Signature Is Legally Binding. Name: Date DD/MM/YYYY: PERJURY STATEMENT Name: Date DD/MM/YYYY: Witness: NOTE: ALL APPLICANTS AGE 18 OR OLDER VOLUNTEERING FOR 14 DAYS OR MORE WILL
NEED TO BE FINGERPRINTED AT LEAST 1 MONTH IN ADVANCE OF THE CAMPS THEY
WILL BE WORKING. PLEASE NOTE: ALL STAFF MEMBERS ARE TO CONDUCT THEMSELVES IN A MANNER
THAT GLORIFIES CHRIST AND GIVES OUR CAMPERS A GOOD MORAL MODEL TO
EMMULATE. TO THAT END, THE CAMP PROHIBITS THE USE OF ANY TYPE OF
TOBACCO PRODUCT, ALCOHOLIC BEVERAGES, OR RECREATIONAL DRUGS AND
MEDICAL MARIJUANA ON THE CAMP GROUNDS. ANY STAFF MEMBER WHO
DISREGARDS PROHIBITION WILL BE ASKED TO LEAVE IMMEDIATELY. (1) GIVE THE STORY OF HOW YOU CAME TO CHRIST
(WHEN AND HOW YOU WERE SAVED) AND (2) TELL WHY YOU WOULD LIKE TO WORK AT
TEPEE BIBLE CAMP THIS YEAR. THE CAMP RESERVES THE RIGHT TO DENY ANY VOLUNTEER POSITION TO ANY
PERSON IT FEELS WOULD BE DETRIMENTAL TO THE CAMP AND ITS PURPOSE.
PLEASE FILL OUT AND SIGN THIS APPLICATION AN E-MAIL CONFIRMATION WILL BE SENT TO YOU ALONG WITH INSTRUCTIONS FOR OTHER DOCUMENTS REQUIRED TO FILL OUT.
IF YOU ARE SIGNING UP FOR A MEDICAL POSITION KEEP IN MIND YOUR CREDENTIALS WILL BE NEEDED THE 1ST DAY OF CAMP. PLEASE LIST ANY OTHER POSITIONS YOU WOULD LIKE TO APPLY FOR. THE CURRENT POSITIONS AVAILABLE ARE AS FOLLOWS:Cook's Assistant Craft Leader Camp Chief Archery Instructor Recreation Director Camp Cook Jr Staff Counselor Counselor In Training Medical Staff Bible Teacher or Missionary
