RFKC Omaha June 3-8, 2018 - New Staff Application
This Form is For New Volunteer Camp Staff and Counselors.
This application is for a voluntary service position, it is not an application for employment. Therefore, neither the application nor the position, if selected, would be governed by employment law.
Last Name *
Your answer
First Name *
Your answer
Mailing Address *
Your answer
Cell Phone *
Your answer
Email *
Your answer
Marital Status *
Required
Age *
Your answer
Date of Birth *
Your answer
T-Shirt Size *
How did you hear about RFKC Omaha?
Your answer
What church do you currently attend? *
Your answer
For how long have you attended this church?
Your answer
How do you spend your days? *
(tell us about your job, studies, homemaking, retirement, etc)
Your answer
Are you available to serve onsite, overnight the entire week- Sun. June 4 to Fri. June 9? *
Required
All counselors and staff are required to participate in training. Are you available and committed to attending the following training sessions? *
Fri 4/20 7:00pm-9:00pm, Sat 4/28 9:00am-3:00pm, Sun 5/20 2:00pm-5:00pm
Your answer
Please indicate which day(s) you might be available for a 20 minute interview. *
We will contact you to schedule an exact date and time.
Required
Please explain why you want to work with abused and neglected children.
Your answer
Do you have any training or background in dealing with abused, neglected, or foster children?
If yes, please describe.
Your answer
Were you a victim of abuse, neglect or abandonment as a minor?
If yes, please briefly explain your experience or state that you'd rather discuss in person.
Your answer
Have you committed your life to Jesus Christ?
If yes, briefly describe how this came about and what impact it has in your daily life.
Your answer
What ministry experiences have you recently been a part of and what were you roles?
Your answer
Please list two STRENGTHS you have in working with children.
Your answer
Please list two WEAKNESSES you have in working with children.
Your answer
Please provide contact info for 3 references. (not former employers nor relatives)
List their Name, Phone/Email, and Relationship to you. Please notify your references that they will be contacted via email or phone. Your application will not be processed until all references have been checked.
Your answer
Have you ever been convicted of a crime or municipal ordinance violation in any federal, state, or municipal court? *
If unsure whether to answer yes, we strongly suggest that you answer yes and fully disclose all incidents to avoid any future risk of embarrassment upon disclosure.
Required
If "YES" please explain.
Your answer
Have you ever been sued in civil court of law where the allegations in suit involved illegal, inappropriate, or sexual conduct or contact with a minor child?
If unsure whether to answer yes, we strongly suggest that you answer yes and fully disclose all incidents to avoid any future risk of embarrassment upon disclosure.
If "YES" please explain.
Your answer
Do you currently use tobacco, alcohol or drugs? *
Required
If "YES" please explain.
Your answer
Please check 5 boxes that you feel best describe your core personality: *
Choose a total of five boxes.
Required
What specific gifts/abilities could you contribute to camp?
(music, drama, photography, crafts, first aid, fundraising, counseling, teaching, hospitality)
Your answer
Would you prefer a Camp Counselor or Support Staff position? *
Counselor is direct 24-7 relationship with a few kids in your cabin group, Support Staff is a broad serving role helping with all the kids in a more general capacity
Do you have any medical, emotional or mental health conditions? *
If yes please describe.
Your answer
Do you take any medications?
If yes, please list below.
Your answer
Please tell us about any special dietary needs or allergies.
Your answer
Who should we contact in case of emergency? *
List their Name, Phone, and Relationship to you.
Your answer
For the Children's Safety I understand...
RFK maintains strict policies against any form of child abuse, and that violation of these policies may be cause for dismissal. Child sexual abuse is punishable by law and that RFK is bound by law to report allegations of sexual abuse to the proper authorities. ALL reporting (by law) is kept confidential. All volunteers must commit to immediately report any behavior that seems suspicious, questionable, abusive or inappropriate between: child to child, staff to child, and staff to staff. If you, or someone you know is struggling with a sexual attraction to children, please opt out of service in any child serving organization and seek help. One option is, “Hope for the Heart” at (8oo) 488-HOPE (4673) or www.hopefortheheart.org.
Authorization
The information contained in this application is correct to the best of my knowledge. I authorize any references or churches listed in this application to give you any information (including opinions) that they may have regarding my character and fitness for working with children. In consideration of the receipt and evaluation of this application by the sponsoring Church or Royal Family KIDS Camp Leadership, I hereby release any individual, church, youth organization, charity, employer reference, or any other person or organization, including record custodians, both collectively and individually from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply with this authorization. I waive any right that I may have to inspect any information provided about me by any person or organization identified by me in this application.
Truthful Acknowledgement
I have carefully read the foregoing release and know the contents thereof and I sign this release of my own free act. This is a legally binding agreement which I have read and understand.
By typing my name below, I am signing this document electronically.
Your answer
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