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CAMP BETHEL ADULT VOLUNTEER E-MAIL APPLICATION
Thank you for your willingness to volunteer for Camp Bethel’s 2006 Summer Camp. Upon completion of the full application (including full names, address and phone numbers of your three references) email numbered answers to camp_bethel@yahoo.com, subject line: Adult Vol App, (your name).
1. Date of application
2. Full name
3. Position applying for: Adult Volunteer Counselor, Volunteer Medical Director (please include a copy of your cert/license), Volunteer Chaplain, Camp Grandparent(s), Adult Vol. Support Staff
4. Social Security Number
5. Your e-mail
6. DOB (month/day/year)
7. AGE on June 17, 2007
8. Home Mailing Address (number and street or PO Box, city, state, zip)
9. Home phone
10. Cell phone
11. List your previous camping experiences (include name of camp, your position, dates there, location, highlights)
12. List your related work/volunteer or leadership experiences (include name of institution, position, duration/dates, location and description of duties):
13. Why do you wish to spend a week working in a Christian resident camp with children and youth?
14. Are you a member of a church? If yes, include the church name, denomination and location of church.
15. Briefly describe your faith journey. Include details about your personal devotional life, your involvement in Christian community, and your vision for your work towards Christian community at Camp Bethel.
16. Camp skills & activities: (Write #1 by those in which you can assist; #2 those you can lead for campers.)
Adventure/Trips: river canoeing, backpacking, mountain biking, horseback riding, high ropes, white-water rafting, caving, other (explain)
Bethel Specific: family-style meals, table settings, farm/Heifer animals, Bethel traditions, Bethel & area history, Brethren heritage, other (explain).
Camp Skills: trail cooking, tent camping, lashing, fire building, woodcraft, other (explain)
Counseling Pro: conflict resolution, homesickness prevention, behavior management, bedtime stories, imagination games, other (explain)
Faith development: Bible study, devotions, prayer, faith-based skits, interpret/apply scripture, song leading, musical instrument, other (explain)
Nature Lore: Appalachian ecosystems, astronomy, trees/plants, wildlife/birds, pond/stream ecology, geology/rocks, other (explain)
On the Go/Activities: small group games, large group games, indoor games, trail construct/maint., hiking, challenge course, other (explain)
Pool/Waterfront: __pond fishing, creek exploring, pool games, swim lessons, canoe strokes, other (explain)
Site Work: mowing/trimming, kitchen work/duties, janitorial/housekeeping, skilled labor (explain), other (explain)
17. What other skills or experiences do you have that could be useful at camp? (ie: sign language; Spanish; juggling; courses, etc.)
18. We strongly emphasize the following: Camp activities are focused in the outdoors (hiking, camp-outs, cook-outs, exploration, etc.) and involve direct interaction with our 470 acre natural setting. As a camp counselor, you will be expected to spend most of each week outdoors. Describe your comfort in the outdoors and your willingness to “get dirty” in order to give your campers an outdoor Christian experience.
19. List the certification and date below for which you will have a CURRENT card during the upcoming summer (through August 4, 2006) including, but not limited to Red Cross Lifeguard Training, Red Cross WSI, Basic Canoeing, Red Cross or American Heart Association First Aid and/or CPR, Wilderness First Aid, Wilderness First Responder or other health/safety/activity certifications.
20. HEALTH: Do you have any condition (physical, psychological or emotional) which might limit your full participation in this highly demanding summer position? (If yes, please explain.)
21. VOLUNTARY DISCLOSURE: Have you been convicted of any crime, felony, child abuse, or sexual abuse? ____ (If yes to any, please explain.)
22. IDENTIFICATION: Do you have a valid driver’s license? If yes, give state and license number
23. RECOMMENDATIONS: List complete names, phone numbers, and addresses of your three references including an employer/teacher, a character reference, and a minister/character reference.
24. DATES AVAILABLE: Please check the ‘07 summer calendar and list the dates you are available to serve.
25. Please type the following statement to verify the information in your application.
“I, (your name) verify the information on this application and grant the Outdoor Ministries Committee of the Virlina District of the Church of the Brethren and Camp Bethel permission to perform a routine criminal background check and driver’s license investigation.”
*INCLUDE WITH THIS APPLICATION:
Include with this application a photocopy or scan showing (if any) your driver’s license and any certification cards.
Return application, forms and photocopies to:
SUSAN CHAPMAN, Camp Bethel, 328 Bethel Road, Fincastle, VA, 24090.
If you have any questions about the application process, call Susan or Barry at (540) 992-2940 or e-mail at camp_bethel@yahoo.com.
“Rules for acceptance and participation in all sessions of this camp are the same for everyone without regard to race, color, national origin or sex.”
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