Volunteer Application- Camp Edisto

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THIS FORM IS NOT FOR CAMPERS! THIS IS FOR VOLUNTEERS ONLY.

Email *

PLEASE CONFIRM WITH THE DEAN OF YOUR WEEK BEFORE REGISTERING AS A VOLUNTEER. If you have not confirmed, please do NOT complete this application. *

I have confirmed there is space

I have watched the orientation video posted on the home page of the Camp Edisto website (campedisto.com) & I agree to adhere to all guidelines. PLEASE PROVIDE THE NAME OF THE VOLUNTEER AS A SIGNATURE *

T-Shirt Size *

XXL

3XL

Week of camp *

Full Name *

phone number *

Address *

social security number *

date of birth *

YYYY

driver's license state, number & expiration *

Insurance company and policy number *

Employment

Home Church *

Past Camp Experience

YYYY

Past Camp Experience

YYYY

Education *

List 2 Emergency contacts| Name, Phone, Relationship *

List any medical certifications (American Heart Assoc. Red Cross, CPR, etc.)

List any craft, teaching, or recreational skills

two (2) references | must include name, relationship, phone *

Authorization and Request for Criminal Records Check

I authorize Camp Edisto Christian Camp to request a background check from Church Mutual's screening partner ScreenNow from ChoicePoint. I also authorize the release of information regarding any record of charges or convictions, or in any criminal file maintained on me, whether said file is a local, state or national file, and including but not limited to accusations and convictions for crimes committed against minors, to the fullest extent permitted by state and federal law. I verify that all the above information is true and will abide by the policy of Camp Edisto Christian Camp.

Have you ever been convicted of a felony or sexual abuse? *

Please list any other names used by the applicant.

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