Volunteer Application

Volunteer Staff Release

Please read before proceeding with the volunteer application

The information contained in this application is correct to the best of my knowledge.I authorize investigation of all statements herein and release the camp and all othersfrom liability in connection with same. I understand that, if accepted, I will be an atwillemployee and that any agreement to the contrary must be in writing and signedby the director of the camp. I authorize any references or churches listed in thisapplication to give you any information (including opinions) that they may haveregarding my character and fitness for children or youth work.

I also understand that untrue, misleading, or omitted information herein may resultin dismissal regardless of the time of discovery by the camp.

Should my application be accepted, I agree to be bound by the bylaws and policies ofFowler Camp and Retreat Center and to refrain from unscriptural conduct inperformance of my service on behalf of the camp.

Should I choose not to waive any rights that I may have to inspect any informationprovided about me by any person or organization identified by me in thisapplication I will need to do so in writing to the Director of the camp. I understandthat by clicking the form button on the Volunteer Staff Application: “Yes ‐ I agree tothe Volunteer Staff Release Terms” I also release my rights to inspect saidinformation and terms described above.

Regarding H1N1: I understand that should I become ill with a fever of 100 degreesor more I will be required to return home immediately as required by the NYSDH.Camp Fowler is in complete compliance with NYSDH guidelines and requirementsconcerning the spread of H1N1.

Volunteer Application

Full Name of Volunteer

Gender

Date of Birth (required for background check)

COMPLETE Mailing Address including City, State, Zip!

Day Phone

Church or N/A

Please list the names and email addresses of two references

I understand that at least 1 of 2 references must be on file in order to be considered an active candidate for a volunteer position. References may not be family members and should include people such as a pastor, teacher, or past employer who can speak to your character as well as your abilities. I understand that it is my responsibility to make sure these references are submitted.

I would like to serve as:

Which week would you like to serve? (pick 1 - please submit separate forms for each week if you have more than 1 week.

Do you have a child camping this week?

Are you bringing a Tag-a-Long? ($150 fee applies)

If yes, please list name and age of your Tag-a-Long

Health Insurance Company, ID# and Contact Data

Is your health such that you can perform activities required for your volunteer work?

Please describe any restrictions we should know about including medications, allergies or recurring illnesses

Can you walk 3 to 4 miles a day?

Have you served at Fowler previously?

Do you smoke?

Have you been convicted of a crime?

Were you convicted of abuse as a minor?

I state that I have carefully read the Volunteer Staff Release and know the contents thereof. I understand by submitting my application I understand and accept all the terms of this Volunteer Staff Release.

Message to the office (optional)

Directions to Apply

Please read the Volunteer Staff Release. Contact the office with any questions.

Complete the Volunteer Application and hit the submit button. You must verify that you have read the Volunteer Staff Release and accept its terms.

Your application is then emailed to the Fowler Office.

Volunteer Staff Release

Download

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