SoCal District Winter Camp 2024- Staff Application

Registration Options

First Name

Date of Birth

Gender

Male
Female

Address

Phone Number

Driver's License State Issued

Driver's License #

Insurance Information

Primary Physician

Primary Physician Phone Number

Insurance Company

Insurance Phone Number

ID#

Volunteer Area

The position you would like to volunteer in (check all): *We will do our best to accommodate you in the position of your choice. However, we are not able to assign all positions as requested. Please understand that you may be used to serve in other areas, if needed. If you are volunteering to serve in the Kitchen or Snack Shack, please check availability by emailing: [email protected]. Please be prepared to work, we need all the help we can get!

Please list any special skills you have that could be utilized at camp:

Are you willing to serve in any area, other than what you mentioned above?

Emergency Contact

Emergency Contact Phone Number

Church

Staff Agreement

I vow to give my best effort for the duration of the time I am serving at SoCal Camps. I will help out whenever needed because I am here to serve. I realize by serving at SoCal camps, I have the opportunity to help shape and mold a life. I am making a commitment to myself, SCY Staff, and the campers to be role models and an example of Christ's love. If you are single: Furthermore, understanding the hindrance courtship imposes, I will abstain from pursuing the opposite sex while serving at SoCal camps. I agree with the camp commitment, as well as the rules and expectations. I agree to cooperate with the Camp Director and Staff.

I, the undersigned, agree to the terms above.

A signed waiver by event participant or parent/guardian will be required before you can download your QR code. A link to obtain waivers for all registrants will be shown on the confirmation page.

Are you currently a Christ Follower?

Have you ever held a ministry position?

Have you ever worked at an SCY camp?

Do you use narcotics, hallucinogens, tobacco, or drink alcohol?

Do you approve of or practice homosexuality/ sexual perversion?

Do you approve of or practice any form of occult?

Were you a victim of abuse or molestation as a minor?

Have you ever been charged or convicted of child abuse or a crime involving actual or attempted sexual molestation of a minor?

Do you have any outstanding warrants, restraining orders or felonies?

For the safety and liability of both our students and staff, we can not allow anyone with major health conditions to volunteer, due to the nature of work that is required. Thank you for understanding. We would love to encourage those who can not volunteer for camp, to reach out to your pastors, for other ways to volunteer in your church. You are needed!

Do you have any health conditions that would prevent you from being able to work or work with students effectively?

Please list any medications you are taking. *ALL* medications MUST be turned into the camp nurse upon arrival. This is for the safety of our students. This includes Tylenol, Advil, etc.

I grant permission to Southern California District Pentecostal Church of God, hereinafter known as the "Media" to use my image (photographs and/or video) for use in Media publications including:

Videos
Email Blasts
Recruiting Brochures
Newsletters
Magazines
General Publications
Website and/or Affiliates
Other

Terms

I hereby waive any right to inspect or approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the image.

By signing below, I agree that I am 18 years of age or older and I am competent to contract in my own name. I have read this release before signing below, and I fully understand the contents, meaning, and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.

I, the undersigned, agree to the terms above.

When finished please email document to [email protected]

Copy and paste into browser.

https://www.socaldistrict.com/backgroundcheck

Convenience Fee

$0.99

Running Total

$0.99

Special Code

Total

$0.99

Join The Team!

INTERNSHIP

STAFF APPLICATION

Insurance Information

Volunteer Area

INTERN QUESTIONAIRE

INTERN HEALTH QUESTIONNAIRE

SUMMER CAMP 2023 MEDIA RELEASE FORM

BACKGROUND CHECK LINK (Must complete to finish).

Copy and paste into browser.

https://www.socaldistrict.com/backgroundcheck

PAYMENT