Volunteer

Volunteer Application

Thank you for choosing to join Base Camp!

This application is to be completed by all applicants for any position (volunteer or compensated)
involving the supervision or custody of minors. It is being used to help Base Camp Urban Outreach
provide a safe and secure environment for the youth in our programs and for those who use our
facilities. All information included in this application is personal and confidential.

Volunteer at Base Camp

Name *

First

Last

Email *

Address *

Please include: Address, City, State, Zip Code

Phone Number *

(111)111-1111

Social Security Number *

111-11-1111

Please list days and times of your availability: *

Do you have any physical limitations that may prevent you from performing certain types of activities? *

Have you ever been convicted of a criminal offense (excluding minor traffic violations)? If so, please explain. *

Reference 1 *

First

Last

The reference must not be a relative.

Reference 1 | Phone Number *

(111)111-1111

Reference 2 *

First

Last

The reference must not be a relative.

Reference 2 | Phone Number *

(111)111-1111

Signature & Date *

The information contained in this application is accurate to the best of my knowledge. I authorize any references listed in this application to give Base Camp Urban Outreach any information they may have regarding my character and fitness for youth work. I also authorize Base Camp Urban Outreach to conduct a routine criminal background check on me. I release Base Camp Urban Outreach from liability for any damage that may result from furnishing such evaluations to them. Should my application be accepted, I agree to be bound by the policies of Base Camp Urban Outreach, and to refrain from unscriptural conduct in the performance of my service on behalf of Base Camp Urban Outreach.

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Volunteer Application

Thank you for choosing to join Base Camp!

Volunteer at Base Camp

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