WI-NE-MA CHRISTIAN CAMP
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Employee Reference Form
Volunteer Application
Name
*
First
Last
Date of Birth
*
Phone Number
*
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Mailing Address (if different)
*
Line 1
Line 2
City
State
Zip Code
Country
Camp Session(s) You'd Like to Serve At
*
First Chance Camp
First Junior
Second Junior
Third Junior
First Junior High
Second Junior High
First High School
Second High School
Christmas Camp
Week of Missions
Family Camp
Other
Have you served at Wi-Ne-Ma Christian Camp before?
*
Yes
No
Position you're applying for
*
Counselor, Kitchen Staff, Tech Crew, etc.
If you are not sure, please click here:
Volunteer - Youth Camp
Home Church
*
Pastor's Name
*
How long have you been a christian?
*
Have you been immersed?
*
Have you been baptized?
References
*
Describe your previous experiences working with children
*
Have you ever been arrested?
*
Yes
No
If yes, please explain
*
Emergency Contact
*
If under 18, please name your legal guardian(s)
*
Emergency Phone Number
*
Secondary Emergency Phone Number
*
Please list any special diet needs
*
We are able to accomdate a variety of special diets including vegetarian, vegan, gluten free, dairy free, soy free, egg free, and a wide variety of allergies. Refridgerated space can also be arranged. Please contact the camp with any concerns.
Please Explain Any Medications, Allergies, Activity Limitations, and/or Medical Conditions
*
HEATH INSURANCE CARRIER, GROUP NUMBER, AND MEMBER ID
*
I authorize investigation of all statements herein and release the Camp and all others from liability in connection with same. I also understand that untrue, misleading, or omitted information herein may result in dismissal regardless of the time of discovery by the Camp.
Should my application be accepted, I agree to cooperate fully with the Manager of Wi-Ne-Ma Christian Camp, Inc., and to refrain from unscriptural conduct in the performance of my services on behalf of the Camp. I also state that I will release and hold harmless; Wi-Ne-Ma Christian Camp, Inc., its Manager and Staff (be they paid or volunteer) from any liability for any damages, injury, illness, loss, of any nature, and of any kind, while participating in Camp.
Electronic Signature
*
Date
*
Submit
Home
Get Involved
Volunteer
Donate
Pray
Employment
Camps
Summer Schedule
Store
A Day At Camp
Parent Information
Conferences
Christian Heritage
Hispanic Family Camp
Week of Missions
Family Camp
Septemberfest
Friends of Wi-Ne-Ma Day
Guest Groups
RV & Tent Camping
House Rentals
Pricing
Employee Reference Form