Summer Missionary Application Form

HISTORY

Do you have a criminal record? If "yes" please specify

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Do you have any experience at camp? If you have experience at a One Hope Canada camp please state which camp.

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Please list all Schools, Colleges and/or Universities you have attended (include dates):

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MEDICAL HISTORY

Health Care Number

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Expiration

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Do you suffer from any physical or emotional condition? If yes, please explain the physical/emotional condition

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Have you been treated for any medical condition in the past twelve months? If you answered yes, what medical condition were you treated for?

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Do you have any allergies? If yes, please list your allergies:

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Do you have any dietary restrictions? If so, list them

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Emergency Contact Name

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Emergency Contact Phone 1

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Emergency Contact Phone 2

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I declare all this information to be accurate to the best of my knowledge. I hereby authorize One Hope Canada access to information with respect to my person from Police/Child Abuse registry files. I have read and agree with One Hope Canada’s Statement of Faith and Code of Conduct.(*)

Yes

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IF APPLICANT IS UNDER 18 (THIS SECTION IS FOR PARENTS)

I give permission for my child to serve at camp this summer and am aware that my child is free to leave camp property with other personnel during the weekends when camp is not in session. (Applicable only if applicant will not be 18 at the start of their time at camp)

Yes

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Parent Name

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Parent Contact (phone, email, etc)

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STATEMENT OF AFFIRMATION

Click here to read

I have read and agree with One Hope Canada’s Statement of Faith and Code of Conduct.(*)

Yes

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3 References

Provide this link to your references: https://onehopecanadareferences.ca

Provide these Instructions to your references: To fill out a form click the link, follow the instructions, make sure Bethel Gospel Camp is selected from the drop down, and submit once completed. We thank you for a quick submission of this form.

Important: Applicants, you are responsible for giving this link and instructions to your references. Missed references will delay the application process and can affect the result.
I hereby provide the names of three other adult acquaintances over 25 years of age that are not relatives. Including your pastor or other ministry leader is encouraged if possible.

If returning from the previous years:
One reference will automatically be the camp Director (they do not need to fill out the form, just provide the director's name).

1. Name of reference

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Phone

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Relationship

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2. Name of reference

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Phone

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Relationship

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3. Name of reference

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Phone

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Relationship

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I have read and understand that I must supply my references with the online reference form (link above) and information provided earlier.(*)

I have understood

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Comments

Any questions or comments?

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RELEASE OF INFORMATION AND DECLARATION OF INTENT

I hereby give Bethel Gospel Camp permission to contact persons named as references to ascertain my suitability for ministry. I release all such references from liability for any damage that may result from furnishing such evaluations to you.

I also grant permission for Bethel Gospel Camp to perform a personal criminal record check, if deemed necessary, for purposes of my protection against false allegations and for the protection of those I serve. I consent to such an investigation with the understanding that the results will be kept in extreme confidence. I agree to adhere to the protection guidelines as adopted by Bethel Gospel Camp.

I understand that if my character or morals should be deemed inappropriate and/or criminal at any time during my service, Bethel Gospel Camp will be entitled to terminate my position without expressed cause or prior notice regardless of any oral or written statement by Bethel Gospel Camp prior to, at, or following the date of service.

I understand that Bethel Gospel Camp is responsible for the welfare of any person or persons entrusted to my care, and thus I will cooperate fully with the staff in the fulfillment of my duties and will keep all information I encounter in my ministry confidential. If at any time, I find that for any reason I am unable to support the policies, procedures or doctrine of Bethel Gospel Camp, I will graciously and quietly resign my position. If my supervisors find that I am in conflict with any of the policies, procedures, or doctrines and we are not able to resolve the issue, I will graciously and quietly agree to resign my position.

I hereby acknowledge that the information contained in this application for ministry is correct to the best of my knowledge.

(*)

I have read understand & agree

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Type your full name to digitally sign this release of information and declaration of intent

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Submit