Crossings Camps-Volunteer Application

Personal Information:
Volunteer Application The volunteer application provides us with essential information concerning you. Please answer all of the questions below. You are asked for your Social Security Number, Date of Birth, and Driver's License Number because all volunteers for Crossings Camps will have a background check. This is a requirement to volunteer for Crossings Camps. You will be contacted by a Crossings Camp staff-person shortly after completing the form. Note: All fields are required.
Location Preference:

First name:
Last name:
Middle Initial:
Date of Birth (mm/dd/yyyy):
Social Security (111-11-1111):
Shirt Size:
Spouse First Name:
Spouse Last Name:
Spouse Middle Initial:
Spouse Date of Birth:
Spouse Social Security:

Contact Information
Home Address:
City:
State:
Zip:
Phone(111-111-1111):
Cell phone:
Email Address:
Drivers License Number:
Issuing state:
Housing Accomodations:
Size of Rig
Availability for Camp
Traveling From:
Arrival Date (mm/dd/yyyy):
Departure Date (mm/dd/yyyy):
Please describe your previous work, volunteering, or ministry experience:

Home Church Information:
Home Church:
Pastor Name:
Church Address:
Church City:
Church State:
Church Zip Code:
Church Phone(111-111-1111):

Emergency Contact Information:
Emergency Name:
Emergency Phone (111-111-1111):
Emergency Contact Relation:
Do you have any specific physical or medical needs that we need to know about (allergies, dietary, etc)?

This is my first time to volunteer for Crossings Camps
References
If this is your first volunteer experience with Crossings, please list the names, addresses, and phone numbers of (3) references:

Reference Name:
Reference Address:
Reference City:
Reference State:
Reference Zip:
Reference Phone:

Reference Name:
Reference Address:
Reference City:
Reference State:
Reference Zip:
Reference Phone:

Reference Name:
Reference Address:
Reference City:
Reference State:
Reference Zip:
Reference Phone:

I certify that I have read and understand this application and that it is not an employment contract. I have read and understand the questions on this application and the answers I have given and statements I have made are complete and true to the best of my knowledge and belief. I also understand that any false information, including omissions and/or misrepresentations may result in the rejection of my application or my discharge at anytime during my employment. I further authorize Kentucky Baptist Assemblies, Inc. and their agents to verify any or all of this information and conduct any and all necessary background checks. I also authorize all former employers, persons, schools, churches and law enforcement authorities to release any information concerning my background and hereby release said employers persons, schools, churches, and law enforcement authorities from liability for any damage whatsoever for issuing this information. I further understand that any use of alcohol, tobacco products or illegal drugs is prohibited. If Kentucky Baptist Assemblies, Inc. deem it necessary, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during my employment. I also give permission to Kentucky Baptist Assemblies, Inc. to expressly use any photographs or video taken during my employment for the purposes of promoting the camps during this year and years to come. I have read and accept the terms mentioned above. Please Enter Today's Date(mm/dd/yyyy): Please Type Your Full Name: