Volunteer Form

*Denotes Required Field

* First and Last Name

* Address

* City

* Province

* Postal Code

* Phone ( ) -

* Email

* Health Card #

Emergency Contact (Name)

Emergency Contact (Phone Number) ( ) -

* Do you have a criminal record? (Have you been convicted of a criminal offence?)

Personal Reflection

* What strengths or experience do you have that will add to your volunteer position?

I am applying for the following positions

Craft Leader

Boat Driver

Grounds/Maintenance Worker

Assistant Cook

Worship Team

Camp Nurse

Are you currently practicing as a nurse or working in the medical field? (Please Specify LPN or RN and any other certifications)

Are you in good standing with your licensing body?

I am available to work for the following camps

Homeschool Family Camp (June 11-14)

Fishing Camp (June 19-21)

Seniors Camp (June 23-27)

Sr. Teen Camp (July 5-10)

Jr. Teen Camp (July 12-17)

1st Family Camp (July 19-24)

Kids Camp (July 26-29)

2nd Family Camp (August 1-6)

Preteen Camp (August 9-13)

3rd Family Camp (August 15-18)

Young Adults Camp (August 21-23) / Artist's Retreat (August 22)

I am not available for a full week but available for these days:

References (Please Provide Two)

Please list a Pastor/Youth Leader or Christian mentor as well as one adult (non-family member) who can speak to your character, faith journey, and/or skill-set. It is important that these individuals currently spend time with you on a frequent basis. Additional references may be requested if provided references do not meet this criteria.

Name of Senior/Youth Pastor or Christian mentor

Relationship to applicant

Phone # of Pastor/Mentor ( ) -

Email of Pastor/Mentor

Name of additional Adult Reference (Non Family Member)

Relationship to applicant

Phone # of Adult Reference ( ) -

Email of Adult Reference

ACOP Statement of Faith & KGC Code of Conduct

* I have read and agree to abide by the ACOP Statement of Faith and KGC Code of Conduct while on grounds at Kedleston Gospel Camp

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