Camp Christian, Inc

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2019 Volunteer Form
Contact Information
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First Name
Last Name
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First Name
Last Name
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Please note - if you will be serving in this capacity, please mail or email photocopies of your current certifications/licenses
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Camp Christian's Statement of Faith
  • God is one being in three persons - God the Father, God the Son and God the Holy Spirit.  He is the source of all creation
  • Jesus is he incarnation of God the Son.  He is the Word become flesh.
  • The Holy Spirit works actively in the world, seeking to glorify Jesus.  The Holy Spirit convicts people of sin, righteousness and judgment to come.
  • The Bible, the Old and New Testament scriptures, is the uniquely inspired, infallible and inerrant Word of God.
  • Human beings were created by God to walk in fellowship with Him.  However, all (except Jesus) have sinned and fall short of the glory of God and must rely on God's grace and forgiveness.
  • Salvation is by God alone through Jesus Christ alone.  One accepts Christ as Savior through a conversion process that includes faith, repentance, confession and baptism by immersion.
  • The Final Coming of Jesus is a time when Christ will personally come again as Savior and Judge of the world.  At that time, there will be the bodily resurrection of the dead - believers to eternal life with God and unbelievers to eternal judgment.  Sin will be no more and believers will live in fellowship with God forever.
Affirmations

By signing below, I:

  1. Understand that this volunteer form must be updated annually.
  2. Agree to abide by all policies of Camp Christian and to refrain from any unscriptural conduct
  3. Agree to Camp Christian’s Statement of Faith. (If there is any part you disagree with, please explain at the end of this form)
  4. Release all photos, videos and audio recordings of myself to Camp Christian for promotional purposes.
  5. Understand that PA requires clearances to be obtained before volunteering for any service in which I have direct contact with children. I am required to produce the original clearances for Camp Christian and they are required to keep a copy of my clearances. These clearances are valid for 3 years.
    1. PA residents
      1. Report of criminal history from the Pennsylvania State Police
      2. Child Abuse History Clearance from the Department of Human Services
      3. If you have lived outside PA at any point in the last 10 years, you must also provide a fingerprint based federal criminal history (FBI)
    2. Non PA residents are required to obtain clearances from their state of residence.
  6. Understand that Camp Christian may deny volunteer opportunity or terminate volunteer service of any person if that person is found, regardless of when discovered, to:
    1. Have a history of complaints or abuse of a minor.
    2. Have resigned, been terminated, or been asked to resign from a position whether paid or unpaid, due to complaint(s) of sexual abuse of a minor.
  7. Swear/affirm that I have not been named as a perpetrator of a founded report of child abuse within the past five (5) years as defined by the Child Protective Services Law.
  8. Swear/affirm that I have not been convicted of any of the following crimes under Title 18 of the Pennsylvania consolidated statues or of offenses similar in nature to those crimes under the laws or former laws of the United States or one of its territories or possessions, another state, the District of Columbia, the Commonwealth of Puerto Rico or a foreign nation, or under a former law of this Commonwealth.
    1. Chapter 25 (relating to criminal homicide)
    2. Section 2702 (relating to aggravated assault)
    3. Section 2709 (relating to stalking)
    4. Section 2901 (relating to kidnapping)
    5. Section 2902 (relating to unlawful restraint)
    6. Section 3121 (relating to rape)
    7. Section 3122.1 (relating to statutory sexual assault)
    8. Section 3123 (relating to involuntary deviate sexual intercourse)
    9. Section 3124.1 (relating to sexual assault)
    10. Section 3125 (relating to aggravated indecent assault)
    11. Section 3126 (relating to indecent assault)
    12. Section 3127 (relating to indecent exposure)
    13. Section 4302 (relating to incest)
    14. Section 4303 (relating to concealing death of child)
    15. Section 4304 (relating to endangering welfare of children)
    16. Section 4305 (relating to dealing in infant children)
    17. Section 5902(b) (relating to prostitution and related offenses)
    18. Section 5903(c) (d) (relating to obscene and other sexual material and performances)
    19. Section 6301 (relating to corruption of minors)
    20. Section 6312 (relating to sexual abuse of children), or an equivalent crime under Federal law or the law of another state.
  9. Have not been convicted of a felony offense under Act 64-1972 (relating to the controlled substance, drug device and cosmetic act) committed within the past five years.
  10. Understand that I shall not be approved for service if I am named as a perpetrator of a founded report of child abuse within the past five (5) years or have been convicted of any of the crimes listed above or of offenses similar in nature to those crimes under the laws or former laws of the United States or one of its territories or possessions, another state, the District of Columbia, the Commonwealth of Puerto Rico or a foreign nation, or under a former law of this Commonwealth.
  11. Understand that if I am arrested for or convicted of an offense that would constitute grounds for denying participation in a program, activity or service under the Child Protective Services Law as listed above, or am named as perpetrator in a founded or indicated report, I must provide the administrator or designee with written notice not later than 72 hours after the arrest, conviction or notification that I have been listed as a perpetrator in the Statewide database.
  12. Understand that if the person responsible for employment decisions or the administrator of a program, activity or service has a reasonable belief that I was arrested or convicted for an offense that would constitute grounds for denying participation in a program, activity or service under the Child Protective Services Law, or was named as perpetrator in a founded or indicated report, or I have provided notice as required under this section, the person responsible for employment decisions or administrator of a program, activity or service shall immediately require me to submit current clearances obtained through the Department of Human Services, the Pennsylvania State Police, and the Federal Bureau of Investigation, as appropriate. The cost of clearances shall be borne by the employing entity or program, activity or service.
  13. Understand that if I willfully fail to disclose information required above, I commit a misdemeanor of the third degree and shall be subject to discipline up to and including denial of a volunteer position.
  14. Hereby swear/affirm that the information as set forth above is true and correct. I understand that false swearing is a misdemeanor pursuant to Section 4903 of the Crimes Code.
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