| NAME |
|
| DATE |
(MM/DD/YYYY) |
| STREET |
|
| CITY |
|
| STATE |
|
| ZIP |
|
| HOME PHONE |
|
| WORK PHONE |
|
| CELL PHONE |
|
| EMAIL |
|
| DATE OF BIRTH |
(MM/DD/YYYY) |
| SEX |
|
| SOCIAL SECURITY # |
(XXX-XX-XXXX) |
| 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, August 29-September 1, 2008. In addition, would you like to be contacted to volunteer for the High School Leadership Days, August 27-29?
YES NO |
Camp is free to everyone; however, what fundraising strategies can you think of to help cover your cost of attending camp ($750)?
|
TRAINING |
| CAN YOU COMMIT TO UNIT AB TRAINING SESSION? |
YES NO |
|
These sessions will include an orientation, Universal Precautions, Family Dynamics and Medical sessions. By choosing to be a volunteer member of the Northwest REACH team, it is
mandatory that you attend Training Units A and B. If you are unable to make the training sessions offered, you will be unable to do camp. |
|
PLEASE SELECT THE SESSION YOU WILL ATTEND |
|
July 19 - Unit AB Training, 9 a.m. - 3 p.m. at University Place Presbyterian
Church, Tacoma, WA |
|
July 26 - Unit AB Training, 10 a.m. - 4 p.m. at Evangel Baptist Conference
Room (Imago Dei Community) 2830 NE Flanders St, Portland, OR 97232 |
|
August 16 - Unit AB Training, 9 a.m. - 3 p.m. at University Place
Presbyterian Church, Tacoma, WA |
Please note:
A TB test is mandatory each year in order to attend camp. Please send your results to the REACH Office before camp. Remember the results take 3 working days.
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. |
(submits application to REACH Ministries)
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|
