Please fill out the volunteer application as accurately as possible.

Or you can download a PDF of the application form and return via email to: ruvolfred@vsisp.net

Today's Date *
Today's Date
Name *
Name
Permanent Address
Address *
Address
Phone *
Phone
School Address (If applicable)
Address
Address
School's Phone Number
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 *
Date of Birth
Gender *
Are you a Christian? *
Pastor's Phone Number
Pastor's Phone Number
"The hardest decision I ever made was..." Please describe in detail - what was at stake, what was the situation, who was involved.
Physical Condition
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 *
Reference #1
Phone
Phone
Reference #2 *
Reference #2
Phone
Phone
Reference #3
Reference #3
Phone
Phone
Re-Creation Unlimited Questions
Have you ever been arrested or convicted of any form of child molestation? *
Would you authorize a criminal background check?
Please check your areas of involvement for an RU Summer
Check all that apply to you:
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.
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.

Re-Creation Unlimited, Inc.

560-A NE F Street
Grants Pass, OR 97526
(541) 979-7253

Questions?

If you have any questions about your application please contact: ruvolfred@vsisp.net