| LEGAL NAME |
|
| ALIASES |
|
| DATE |
(MM/DD/YYYY) |
| STREET |
|
| CITY |
|
| STATE |
|
| ZIP |
|
| HOME PHONE |
|
| WORK PHONE |
|
| CELL PHONE |
|
| EMAIL |
|
| DATE OF BIRTH |
(MM/DD/YYYY) |
| SEX |
|
| DO YOU OWN A CAR? |
YES NO |
| DO YOU HAVE PROOF OF INSURANCE? |
YES NO |
| CAN YOU COMMIT TO STAYING ON SITE FOR THE DURATION OF CAMP? |
YES NO |
| This application is for All-Family Camp, September 3 – September 6, 2010. |
Starting this year we are enacting a non-refundable registration fee for all camp participants, and requiring volunteers to submit $25 with this application to help subsidize the cost of food and housing for the 4-day camp, normally a $750 cost to REACH for each person. Upon completion of this application you will be directed to a page to make your debit or credit card payment. (If you do not have a debit or credit card, please contact the Camp Director at the REACH office.) You will also have the option of making an additional donation.
In addition to paying the registration fee, what fundraising strategies can you initiate and/or assist in fulfilling to help cover the cost of your participation or that of a REACH child?
|
TRAINING |
| CAN YOU COMMIT TO UNIT AB TRAINING SESSION? |
YES NO |
|
These sessions will include Orientation, Universal Precautions, Family Dynamics and Medical sessions. By choosing to be a volunteer member of the REACH team, it is
mandatory that you attend one Training Units A and B. You must participate in one of the trainings, or you will be unable to do camp. |
|
PLEASE SELECT THE SESSION YOU WILL ATTEND |
|
July 31 - Training #2, 10 a.m. - 4 p.m. at Sunset Presbyterian Church, Portland, OR (14986 NW Cornell Road) |
|
August 14 - Training #3, 9 a.m. – 3 p.m. at University Place Presbyterian Church, Tacoma, WA (8101 27th St W)
|
|
TWO-PART SERIES - Training #5: August 11, 6 p.m. - 9 p.m. AND August 18, 6 p.m. - 8:30 p.m. at First Presbyterian Church, Tacoma, WA (20 Tacoma Ave South, South Chapel Building) |
Please note:
During training we will be conducting a TB risk factor screening that will determine whether you need to undergo a TB test. If you do not pass the screening, we will provide you with a list of sites where you can get your test. (The results take 2-3 days to process, so plan ahead.)
REACH maintains a high level of professionalism and confidentiality when working with children and families. Please be prepared to sign and abide by the REACH Code of Conduct and Confidentiality forms before participating in REACH programs.
|
SHORT ANSWER QUESTIONS |
1. How did you hear about REACH Ministries/REACH camp?
|
2. Why do you wish to become a REACH camp volunteer? What are your expectations?
|
3. Please describe any experiences you have had working with children or families in the past. With what age group(s) are you most comfortable working?
|
4. REACH Ministries works with people with diverse backgrounds: differing religions, sexual orientation, physical ability, culture, etc. What feelings do you have about working with such people?
|
5. Describe the sources of emotional support in your life.
|
6. What has been your experience with serious illness, death, grief or HIV/AIDS? How have they affected you? (You do not need experience to become a volunteer.)
|
7. Describe the particular skills/talents/hobbies you have, such as household repair or maintenance, computers, office skills, cooking, gardening, fundraising, organizational, sports, music, etc.
|
8. Have you ever been accused of abusive behavior of any kind? If yes, please explain.
|
REFERENCES |
| Please list below two references with whom we may speak about your potential volunteer work - preferably
people with whom you have done volunteer or professional work, not family members. If you have questions
or concerns about REACH Ministries contacting these references, please note it below: |
| REFERENCE 1 |
| ORGANIZATION/SCHOOL |
|
| TYPE OF WORK DONE |
|
| DATES INVOLVED |
FROM TO |
| CONTACT PERSONS NAME |
|
| PHONE |
|
| REFERENCE 2 |
| ORGANIZATION/SCHOOL |
|
| TYPE OF WORK DONE |
|
| DATES INVOLVED |
FROM TO |
| CONTACT PERSONS NAME |
|
| PHONE |
|
Thank you for the time and care you put into completing this application. If you have any questions or
comments about REACH Ministries, please contact our office at (253) 383-7616.
REACH reserves the right to accept or reject any applicant based on what we consider to be for "the
good of the body" - the REACH children and families. |
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