Kedleston Gospel Camp
Online Forms
Volunteer Form
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Denotes Required Field
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First and Last Name
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Address
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City
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Province
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Postal Code
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Phone
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Email
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Health No
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Social Insurance Number
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Birth date
Personal Reflection
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What strengths or experience do you have that will add to your volunteer position?
Personal Disclosure
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Do you have a criminal record?
Please select an option
Yes
No
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Have you ever been charged with a criminal offence?
Please select an option
Yes
No
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Do you or have you ever had any involvement with occult?
Please select an option
Yes
No
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Are you using alcohol or narcotics?
Please select an option
Yes
No
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Have you ever been questioned by police regarding any sexual misconduct?
Please select an option
Yes
No
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Have you ever been accused of any sexual misconduct?
Please select an option
Yes
No
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If you have responded yes to any of the above statements please explain
I am applying for the following positions
Craft Leader
Boat Driver
Assistant Cook
Camp nurse (please advise us of your level of certification) i.e.: RN, LN
I am available to work at all camps
I am available to work for the following camps
Fishing Camp
Seniors Camp
Family Adventure Camp
Sr. Teen Camp
Jr. Teen Camp
Kids Camp #1 (ages 6-8)
1st Family Camp
2nd Family Camp
Pre-Teen Camp (ages 10-12)
Kids Camp #2 (ages 8-10)
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