First Name: |
|
Last Name: |
|
Address: |
|
City: |
|
State: |
|
Zip: |
|
| |
|
M/F: |
|
Birth Date: |
/
/
|
Social Security Number: (background check) |
-
-
|
|
|
| |
|
|
|
Parent/Guardian Name(s) (for minors): |
|
Home Phone: |
-
-
|
Work Phone: |
-
-
|
Email Address: |
|
Have you attended SEP before? |
|
What year(s)? |
|
Have you been on SEP staff before? |
|
What year(s)? |
|
T-Shirt Size: |
M (38-40)
L (42-44)
XL (46-48)
XXL (Over 48) |
| |
|
Why would you like to be a SEP staff volunteer? |
| |
|
Does the applicant have a condition that limits or prohibits applicant's physical activity?
|
If Yes, please explain in detail. If no response is given, SEP will assume that applicant can engage in all SEP-related activities. |
|
|
Please select the top 3 activity areas you would like to volunteer for, and your experience/training/certification if any in that area:
|
First Choice: |
Experience/Training/Certification:
|
Second Choice: |
Experience/Training/Certification:
|
Third Choice: |
Experience/Training/Certification:
|
I Have Current CPR Certification
I Have Current First Aid Certification
I Have Current Archery Certification
I Have Current Lifesaving Certification
I Would Be Willing To Serve In Any Area |
Please Specify Three References, and your relationship to them:
|
First Reference |
Phone:
Relationship:
|
Second Reference |
Phone:
Relationship:
|
Third Reference |
Phone:
Relationship:
|
SEP Staff Volunteer Service Request
I, the undersigned, hereby agree to donate any and all my time served as an SEP Staff Volunteer at SEP Rockies, voluntarily, without
expectation of payment or compensation, in order to assist the Spiritual Enrichment Program (SEP).
If I am accepted as an SEP volunteer, I understand that all my time is donated of my own free will. Further, I understand that during
the time that I serve, I am a volunteer, not an employee, nor do I hold expectations for future employment as a result of my
volunteering. I do not expect benefits for which I would otherwise be entitled as an employee. I understand that my room and board
will be provided as a courtesy at the SEP site, if accepted.
I also understand that if accepted as a volunteer, this service relationship is mutually agreed-upon and is terminable at will by either
party. Tentatively, I would like to volunteer my services in the following capacity and duration:
|
Part 3: Background Information |
Applicant Information (This supplemental information is required for applicants for volunteer service at SEP whose desired position
includes, or might include, working with, or in close proximity to, minors.) |
| Do you ever drink alcohol to the point of drunkenness?
|
|
Do you use illegal drugs?
|
|
| |
| Have you ever been arrested for or convicted of a crime? (You may exclude certain misdemeanors the law exempts from disclosure. Conviction will
not necessarily disqualify you.) |
|
| Have you ever been arrested for or convicted of child abuse, child molestation, child neglect, sexual assault, rape, or any other sex crimes, drug
crimes or violent crimes? |
|
| Have you ever had a civil judgment entered against you or is there a pending complaint against you concerning intentional injury against others or
your treatment of minors? |
|
| Date(s) of arrest/conviction(s) |
|
Case number(s) |
|
| Location(s)of arrest/conviction(s) |
|
|
| Is any such criminal or civil case currently pending against you or on appeal? |
|
| What were you convicted of? What was the judgment entered against you? |
|
| Penalties/ terms of judgment imposed: |
|
Applicant Certification
I am making application for voluntary service with the Spiritual Enrichment Program Rockies (herein “SEP”). I certify that to the
best of my knowledge the information provided by me in this application is accurate, complete and without material omission.
I authorize SEP to investigate the statements contained in the application. I also release SEP and any person, company or
institution that provides SEP with information concerning my background from any and all liability or claims that may result from the
investigation, use or disclosure of such information, and/or any damage that may result. I understand that any misrepresentation,
falsification, or material omission of information on this application may result in my failure to receive an offer, the withdrawal of an
offer, of if I am accepted as staff, in my dismissal from staff position.
I understand and agree that this certification will become a part of the terms and conditions of acceptance if I am offered, and
accept a staff position. I acknowledge that acceptance by SEP is neither guaranteed, permanent, nor for any specified period of
time, and that I may resign, at-will, at any time and SEP may terminate my staff position, at-will, at any time with or without cause,
and with or without prior notice.
I understand that this application augments all other applications previously submitted to SEP by the undersigned applicant.
I understand that SEP does not provide personal medical or health insurance, and that it is my responsibility to provide personal
insurance.
SEP may use any photos or videotapes taken of me at any SEP event in their publications or those of their sponsor, the Worldwide
Church of God.
I agree with the enclosed “Summary Statement of Our Christian Faith” and support the policies of SEP.
In keeping with its Christ-centered mission, the Spiritual Enrichment Program sets high standards of personal conduct. These
standards include rules against intoxication or possession of intoxicants, sexual misconduct, use or possession of illegal drugs,
stealing, smoking, disorderly conduct, intentional destruction of property, refusal to cooperate with SEP personnel or any conduct or
attitudes not in keeping with Christian standards.
I understand that staff members who do not abide by the rules and policies of SEP, or whose conduct or attitude undermine the
wholesome, positive, and Christ-centered camp environment, may be dismissed, and their travel arrangements to return home will
be made at their own expense.
I UNDERSTAND AND HAVE CAREFULLY READ THIS CERTIFICATION AND FULLY UNDERSTAND AND AGREE WITH ALL
OF THE ABOVE BY CLICKING SUBMIT.
DEADLINE: Applications will be reviewed as they are received and information packets will be sent to the SEP Staff volunteer upon
acceptance. Please submit this application by May 1, 2008 to be considered for acceptance.
MAIL REFERENCE LETTERS TO:
SEP Rockies
11837 Larkspur Drive
Parker, CO 80134
303-840-3553
E-mail: sarah.miles@milestone-inc.com |
