Please complete the following and mail to CRC:

Last Name _________________________
First Name ________________________________

Address _____________________
City _____________ State _____ Zip ________

Telephone ( ) ________________
Other Phone ( ) ___________________

Name of Pastor _________________________________
Church _______________________

Address _______________________________________
Phone ________________________

May we contact this pastor as a reference? Yes / No

Have you ever been on CRC’s volunteer staff? _____
When? _________________

I can commit to volunteering for one or more of the following sessions:

• Jr Hi Day Camp
• Elementary Day Camp - 3rd & 4th graders
• Elementary Day Camp - 5th & 6th graders
• Elementary Day Camp - both groups

*Please check which ones you are committing to.

Please put careful thought into the following questions and answer briefly.

1. Tell us how you became a Christian.

2. Describe your current walk with Christ.

3. Why do you want to work with children and youth?

4. What do you hope to get out of this experience?

Consider CRC’s Volunteer Responsibilities

Have you read and do you understand the CRC Volunteer Responsibilities handout? _______
Will you agree to the stated responsibilities? _______
Will you commit to CRC’s Lifestyle Statement while volunteering? _______

Signature of Applicant

____________________________________

Date _____________