RE-CREATION UNLIMITED

Volunteer Application

Please fill out the form below as accurately as possible.

First Name:
Last Name:
Permanent Address
Address 1:
Address 2:
City:
State/Province/Region:
Zip:
Country:
Phone Number:
Best time to call me:
Email:
Re-type Email:
School Address	(if applicable)
Address 1:
Address 2:
City:
State/Province/Region:
Zip:
Phone:
Personal Information
Birth Date:	/ /
Citizenship:
Gender:	M F
Are you a Christian?:	Y N
If so, how long?:
Do you regularly attend church?:	Y N
How long have you attended?:
Where do you attend church?:
Pastor's name:
Pastor's phone:
Social Security Number:
Visa/Passport Number (non-US citizen only):
Shirt/Blouse Size:
Pant Size:
Cut Style:
Current Photo:	Click here to email your photo.
Physical Condition
Describe your present health condition:
List any physical limitations, allergies or other limits you have:
Please list three	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:
Position:
Phone:
Email:
Reference 2:
Position:
Phone:
Email:
Reference 3:
Position:
Phone:
Email:
Re-Creation Unlimited	Questions
Describe any volunteering have you done:
List any skills 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?:	Y N
Would you authorize a criminal background check?:	Y N
Please write a paragraph why you would like to serve with RU:
Check all activities 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 RV None
List your personal goals for the College/University Internship opportunity with and RU Summer:
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.