Volunteer Application - Lake Ann Camp

Application Type

Summer Camp
Retreat

Personal Information

Name

First

Last

Street Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email

Gender

Male
Female

Age

Birthdate

Marital Status

Spouse's Name (if applicable)

First

Last

How do you know about Lake Ann Camp

Emergency Contact Information

In case of an emergency, who should be notified?

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Spiritual Life

Home Church Name

Church Address

Address Line 1

Address Line 2

City

State

Zip Code

Church Attendance

Church Membership

Yes
No

How many days have you read your Bible in the last month?

What expectations do you bring to your devotional time?

Personal Testimony

Please share your personal testimony, including salvation experience, involvement at church, current ministries you are involved with, etc.

Do you believe the Bible teaches the urgency for all to be saved?

Yes
No

Have you been baptized by immersion after your conversion to Christ?

Yes
No

Do you believe in a literal six-day creation?

Yes
No

Volunteer Eligibility

Please let us know what dates you are available to volunteer and what areas of expertise you have.

Start Date

End Date

Shirt Size

In what area are you interested in volunteering?

Please let us know of any children that will be with you while you are volunteering (please list names & ages)

Please check any areas of expertise you have

What retreat are you interested in volunteering for?

Please check any areas of expertise you have

Please note any additional skills that are not listed above

Housing

Please let us know what your housing needs will be while you are volunteering at Lake Ann Camp.

Housing options

Additional Information

Do you have any physical, mental, or medical impairments/disabilities that would limit you while volunteering at Lake Ann Camp?

Yes
No

If yes, please describe your impairments/disabilities

Do you have any food allergies?

Yes
No

If yes, please describe your food allergies

Have you been convicted of or pleaded no contest to a felony within the last five years?

Yes
No

Have you been convicted of, pleaded guilty to, or pleaded no contest to an act of dishonesty or breach of trust or moral turpitude (e.g., misdemeanor, petty theft, burglary, fraud, writing bad checks, or related crimes) within the last five years?

Yes
No

Have you used tobacco within the past 12 months?

Yes
No

Have you used alcohol within the past 12 months?

Yes
No

Have you used any drug in an illegal way in the past 12 months?

Yes
No

Have you ever been accused or convicted of any sex crimes?

Yes
No

Have you been involved in pornography in the past 12 months?

Yes
No

Have you been convicted of a crime or misdemeanor in the past 10 years?

Yes
No

Have you had any traffic violations in the past 2 years?

Yes
No

If yes to any of the above, please explain

References

Please provide us with the name and phone numbers of 2 references.

Pastor's Name

First

Last

Pastor's Phone

Coworker/Employer Name

First

Last

Coworker/Employer Phone

area of expectations

Non-related Friends Name

First

Last

Non-related Friends Phone

Signature

I certify that everything in this application is correct and truthful. I understand that Lake Ann Camp requires receipt of reference forms before volunteer work begins. I authorize Lake Ann Camp to do a criminal background check to ensure applicants do not have a history of abuse or neglect of children.

Signature

Clear Signature