Name *

Please use your full legal name:

First Name

Last Name

Gender *

(Only used for practical purposes):

Male

Female

Birthdate *

(Only used for practical purposes):

MM

DD

YYYY

Phone *

Your primary phone number:

(###)

###

####

Alternate Phone

An alternate phone number (if you have one):

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What volunteer position(s) are you applying for? *

Mentor

Music Director

Events Director

Events Helper

Small Group Leader

When are you availabie? *

August 5-18, 2018

Have you ever attended a camp related program? *

Yes

No

Not Sure

Have you ever volunteered at a camp related program? *

Yes

No

Not Sure

Have you been convicted of a moving traffic violation in the last 2 years? *

(If Yes or Not Sure, please explain below)

Yes

No

Not Sure

Discuss Later

Have you ever been convicted or accused of a crime, other than a minor traffic violation? *

(If Yes or Not Sure, please explain below)

Yes

No

Not Sure

Discuss Later

Have you ever engaged in, or been accused of, any child molestation, exploitation, or abuse? *

(If Yes or Not Sure, please explain below)

Yes

No

Not Sure

Discuss Later

Have you ever been accused or convicted of any other offense involving children or minors? *

(If Yes or Not Sure, please explain below)

Yes

No

Not Sure

Discuss Later

Have you ever struggled with unnatural attraction or sexual affections toward children? *

(If Yes or Not Sure, please explain below)

Yes

No

Not Sure

Discuss Later

Have you ever engaged in any sexual activity outside marriage? *

(If Yes or Not Sure, please explain below)

Yes

No

Not Sure

Discuss Later

Have you ever used, in any amount, any illegal drug or substance? *

(If Yes or Not Sure, please explain below)

Yes

No

Not Sure

Discuss Later

Have you ever misused alcohol (drinking and driving, becoming inebriated, etc)? *

(If Yes or Not Sure, please explain below)

Yes

No

Not Sure

Discuss Later

Have you ever struggled with viewing pornography? *

(If Yes or Not Sure, please explain below)

Yes

No

Not Sure

Discuss Later

Would you be willing to disclose all information related to any of the above question, incidents, or accusations? *

Yes

No

Do we have your permission to obtain any necessary background information using your identity? *

Yes

No

Do you clearly understand and support the work and vision of Thoughtful Life Ministries? *

(If No or Not Sure, please explain below)

Yes

No

Not Sure

Are you in full agreement with the Fundamental Truths stated by Thoughtful Life Ministries? *

(If No or Not Sure, please explain below)

Yes

No

Not Sure

Do you have any health concerns that would prevent you from full participation in this ministry? *

(If Yes or Not Sure, please explain below)

Yes

No

Not Sure

Are you able to fulfill the duties of the volunteer position(s) you are applying for? *

(If No or Not Sure, please explain below)

Yes

No

Not Sure

Are you available to participate in training for your volunteer position? *

Using provided materials such as video, articles, books, etc. (If No or Not Sure, please explain below).

Yes

No

Not Sure

1st Reference Name *

First Name

Last Name

May we contact this 1st reference and ask them to evaluate you? *

Yes

1st Reference Phone *

(###)

###

####

1st Reference Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

2nd Reference Name *

First Name

Last Name

May we contact this 2nd reference and ask them to evaluate you? *

Yes

2nd Reference Phone *

(###)

###

####

2nd Reference Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

3rd Reference Name *

First Name

Last Name

May we contact this 3rd reference and ask them to evaluate you? *

Yes

3rd Reference Phone *

(###)

###

####

3rd Reference Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Statements *

In order for your application to be approved you must agree to the following statements:

(1) I hereby certify that the information contained in this application is true, accurate, and complete to the best of my knowledge.

(2) I hereby authorize Thoughtful Life Ministries to check any references I have given, and also to check any additional sources for information deemed pertinent to its decision with respect to this application (including but not limited to criminal background checks). I give permission for any of the references checked to give any information (including opinions) that they may have regarding my suitability for a volunteer position. 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.

(3) I hereby acknowledge that by filling out this application I am applying for a volunteer position with Thoughtful Life Ministries, a non-profit organization designed to counsel and mentor teens and young adults to become better disciples of Jesus Christ. I know that filling out of this application does not guarantee me a volunteer position with Thoughtful Life Ministries, and that this is not an employee application.

(4) I hereby recognize, that if accepted, I am an at-will volunteer unless there is a written agreement or law which alters that status, and that Thoughtful Life Ministries has the right to terminate my role at any time, for any reason.

Application Date *

MM

DD

YYYY