Name

First Name

Last Name

Email Address

Permanent Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Country

(###)

###

####

Best time to call me

School Address (If applicable)

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

School's Phone Number

(###)

###

####

Personal Information

In addition to completeing this section, please email a current photo of you to: ruvolfred@vsisp.net

Date of Birth

YYYY

Citizenship

Gender

Social Security Number

If applicable

Visa/Passport Number

Non-US citizens only

Are you a Christian?

If so, how long?

Where do you attended church?

Pastor's Name

Pastor's Phone Number

(###)

###

####

Pastor's Email Address

Shirt/Blouse Size

Pant Size

Cut Style

Physical Condition

Please describe your current health condition

List any physical limitations, allergies or other limits you have

References

NOTE: For each of your three references, please keep in mind the following: 1) One reference should be a person who knows you in a work-supervisory role. 2) One reference should be a person who knows your faith experience. 3) One reference should be a person who knows you in an academic role. An example would be a teacher, faculty advisory, etc.

Reference #1

First Name

Last Name

Position

Phone

(###)

###

####

Reference #2

First Name

Last Name

Position

Phone

(###)

###

####

Reference #3

First Name

Last Name

Position

Phone

(###)

###

####

Re-Creation Unlimited Questions

Describe any volunteering have you done

List the skills you have that you have

List your hobbies

List your craft abilities

List your sports activities

List your music abilities

What camping/RVing experience have you had?

List any church, service clubs or community organizations you have belonged to

Dates you would be available this coming summer

List any dates you would need to be away from RU this coming summer

Have you ever been arrested or convicted of any form of child molestation?

Yes

Would you authorize a criminal background check?

Yes

Please write a paragraph about why you would like to serve with RU

Please check all activities that you would be interested in:

Park On-Site Director

Program Volunteer

Religious Services Volunteer

Craft Activities Volunteer

Camping Assistant

Check all that apply to you:

Because God has blessed me to cover my expenses, I will volunteer.

I can volunteer my time, but I do need my camp housing and food furnished.

Because it is necessary for me to meet my college expenses, I hereby apply for an RU Education Scholarship.

I can bring the following for my camp housing needs:

Tent

None

List your personal goals for the College/University Internship opportunity with and RU Summer

E-Signature

I understand that insurance coverage of any kind is only that provided by the government agency location that I am serving at while on-site as a volunteer. Further, I hold harmless Re-Creation Unlimited, Inc. from any other liabilities I may be subject to while serving.

Acceptance

By typing your initials in this box, you agree to the above statement and are stating the above information is correct to the best of your knowledge.

Please fill out the volunteer application as accurately as possible.

Re-Creation Unlimited, Inc.

Email