Volunteer Counselor Re-Application

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    ATTENTION COUNSELORS Please complete this form and provide the camp with two references. You must fill out this form if you counseled at Crystal Springs Baptist Camp within the last year. If you have not counseled within the last year, please fill out the counselor application form.
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    First Name
    Middle Name
    Last Name
    Address
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    City
    State
    Zip Code
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    Phone Number
    E-mail Address
    Date of Birth
     
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    Church You Attend
    Pastor
    Phone Number
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    PLEASE CHECK THE CAMP(S) YOU ARE ELIGIBLE FOR AND INTERESTED IN COUNSELING AT
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    Junior (ages 8-10)
    Intermediate (ages 11-12)
    Junior High (ages 13-14)
    Senior High (ages 15-18)
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    The camp policy for counselors is that you need to be 16 years old or older and you must be 4 years older than the campers you are counseling. NOTE: SHOULD COUNSELOR OR CAMPER DISMISSAL BE CONSIDERED, THE DIRECTOR, CAMP PASTOR, LEAD COUNSELORS, AND ADMINISTRATOR WILL CONFER BEFORE ACTION IS TAKEN.
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    What has the Lord taught you or challenged you with in your Christian walk within the last several months?
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    Where are you presently attending church?
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    Name of Church
    Located
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    Please list two references that the camp can contact.
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    Reference #1
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    Name
    Address
    Phone Number
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    Reference #2
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    Name
    Address
    Phone Number
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    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 any information (including opinions) that they may have regarding my character and fitness of children or youth work. In consideration of the receipt and evaluation of this application by Crystal Springs Camp, I hereby release any individual, church, organization, charity, employer, reference, or any other person or organization, including record custodians, both collectively or individually, from any liability for damages of whatever kind or nature which may at any time result to me, my heirs, my family, on account of compliance or any 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 policies of Crystal Springs Camp, and to refrain from unscriptural conduct in performance of my services on behalf of the camp. I realize and agree that any photos or recordings taken of me during the summer may be used in camp promotional material. I further understand that Crystal Springs Camp will thoroughly pursue the safety of minors being served by their ministries. To that end, they may check my name against the list of registered sex offenders in the United States. I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement which I have read and understand.

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    Applicant's Signature
    Date
     
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    Primary Screening Form for Crystal Springs Camp

    This is to be completed by all applicants for any position (volunteer or compensated) involving the supervision or custody of minors. This is not an employment application form, but rather an instrument to help implement a safe and secure environment for our children and youth ministries. This is a confidential form and the information herein will be accessible only to the leadership team of Crystal Springs Camp.

    PERSONAL INFORMATION

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    Name
    Date
     
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    Social Security #
    State
    Zip
    Home Phone
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    Date of Birth
     
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    Have you ever been charged or convicted of a felony?
    Yes
    No
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    Have you ever been charged or convicted of any misdemeanor of sexual nature?
    Yes
    No
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    If yes to either of the above two questions, please explain
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