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 7-12 Grade 01/24/25-01/26/25 3-6th Grade 01/31/25-02/02/25Teen Retreats 7-12 grade Guy's Retreat 7-12 grade Girl's Retreat 09/06/24-09/08/24Summer Camps Counselor, staff training: 06/25/24 to 06/27/24 (required for staff under age 18) 9:00 a.m. Tuesday - 2 p.m. Thursday Cheif and Adult staff training: 06/27/24 or 07/11/27 or07/18/24 (9 am - 2 pm) Elementary Camp (grades 2-4) Middle School Camp (grades 5-7) Mid-High Camp (grades 8-10) PLEASE CHECK THE POSITION IN WHICH YOU WOULD BE WILLING TO HELP
::::::::::::::::::::::::Select Position:::::::::::::::::::::: Craft Leader Bible Teacher/Missionary Jr Staff Camp Chief Tepee Counselor/Leader CIT Counselor in Training 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
"Any applicant who knowingly or willfully makes a false statement of any material fact or thing in this
application is guilty of perjury in the second degree as defined in Section 18-8-503. C.R.S., and upon
conviction thereof, shall be punished accordingly." I VERIFY THAT ALL INFORMATION IN MY
STAFF APPLICATION AND STAFF MEDICAL FORM IS TRUE AND CORRECT, TO THE BEST
OF MY KNOWLEDGE. 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:Craft Leader , Bible Teacher/Missionary , Jr Staff , Camp Chief , Tepee Counselor/Leader , CIT Counselor in Training ,