PBJ 2016 Volunteer Packet

VOLUNTEER STAFF APPLCATION INFORMATION

Thank you for your interest in serving at the PB&J Retreat! If you are selected, this will be a tremendous ministry opportunity. Please take the time to read through your Volunteer Staff Application Packet to help answer any questions that you may have.

Volunteer Staff Qualifications

We are looking for mature, Spirit-filled Christians who have a genuine love for children. The ability to work in harmony with those whose views may be different is a necessity for a staff person! Applicants must be at least 18 years of age to serve as a Coach; Support Staff must be at least 17 years of age.

Application Process

Every church bringing a group to camp must select a Retreat Coordinator. The Retreat Coordinator is in charge of collecting and sending in all paperwork and fees for both campers and Volunteer Staff. All applications should be turned in to YOUR Church’s Retreat Coordinator unless you are applying as an individual and are not attending with a group. Then, all forms should be mailed to the OCM office (P.O. Box 13179, Oklahoma City, OK 73113).

In order to be considered, a completed Volunteer Staff Application Form must be received in the OCM office on or before November 4, 2016, along with an Administrative Fee of $30 per applicant. Any applications received after November 4, 2016 should include a $40 Administrative Fee per applicant.

Applications will be returned to the applicant if any areas are left blank. Administrative Fees will not be refunded.

(Applicants/Retreat Coordinators should allow a minimum of 5-7 business days for mailing.)

Selection

Applicants are encouraged to apply for all areas where they are willing to serve. Each application is evaluated & notification will be made through the Retreat Coordinator.

Remuneration

There is no salary provided for staff.

Volunteer Staff Positions

Coaches lead a group of campers during their time at camp. They are responsible for the oversight of the campers assigned to them. Coaches stay in the dorm with the campers and accompany them to the day’s activities. All coaches must be at least 18 years old.

Support Staff assist with all activities that lend to the facilitation of the camp ministry. Support Staff do not share overnight quarters with campers, but do have opportunity to interact with campers during daytime activities. At PB&J retreat, all support staff serve in Kitchen, Recreation, and Concessions.

General Staff lend to the leadership support of the camp operation. General Staff may serve in one of many areas: Day Guard, Night Guard, Receptionist, First Aid Staff, Girl’s Dean, Boy’s Dean, K. P. Director, Recreation Director, or Assistant Director.

CAMP POLICIES & PROCEDURES The following are guidelines for the entire camp for the protective benefits of each person: Dorm Rooms/Facilities • • • • • • •

No swapping or changing of rooms.

Pranks, pillow fights, or wrestling in dorms is prohibited.

Girls and boys are NOT allowed in the dorm area of the opposite sex.

All rooms are to be left clean before activities each day and when leaving on your final day of camp.

Inspection of rooms will be daily.

Food or drinks will not be allowed in the Worship Center or in the cabins. (Water is allowed.)

No outside food, drinks, or ice chests are to be brought to camp. (This does not apply to special dietary needs.)

Behavior • • • • • •

You are expected to observe habits of personal courtesy and Christian conduct in order to protect and insure a wholesome atmosphere of an Assemblies of God Camp.

Campers are to stay with coaches at all times.

Alcohol, tobacco, and illegal drugs are strictly prohibited.

The daily schedule must be followed and attendance at all activities is required for both campers and staff.

Stay in lighted areas of the camp at ALL TIMES. Fire Arms, knives, or any other weapons, are not allowed in the camp.

Dress Code • • • • • •

Fingertip-length shorts may be worn during camp.

ALL clothing must cover chest, shoulders, backs, sides, and midriff at ALL times.

No tight clothing will be allowed (such as spandex, bike shorts, any type of shirt or dress).

Apparel may NOT display or promote tobacco, alcohol, controlled substances, or inappropriate language.

Bring shoes/clothes that may be worn in the water or mud.

Everyone is to wear shoes at ALL TIMES.

Off Limits!

• • • • • •

The recreation property to the south is OFF LIMITS, except for announced activities.

NO camper is allowed on staff vehicles, except in the case of an emergency.

Please observe the OFF LIMITS signs.

Cabins are off limits without an adult present.

No one is to leave the camp without permission from the Camp Director or Assistant Director.

No guests are allowed at camp, except credentialed ministers with the Assemblies of God.

Personal Belongings • • • • • •

Respect the property rights of others. Do not borrow anything without permission.

The camp is not responsible for lost, damaged, or stolen items.

Shaving cream is for shaving only. Water balloons and water guns are NOT allowed in the cabins or worship center.

Campers are not allowed to bring electronic devices of any kind to camp. This includes cell phones, computers, tablets, CD players, iPods, etc.

Staff who bring electronic devices to camp, do so at their own risk.

If warranted, the camp leadership reserves the right to search for and hold or dispose of personal belongings.

Administration of Medication & Lice Check • • • •

All Staff Members and Campers must provide a completed Medical Form no less than 2 weeks before the first day of camp, to allow time for processing. If a Medical Information Form is not provided, the Staff Member/Camper will be sent home; transportation is the responsibility of the church.

All medications must be administered by the First Aid Staff. No exceptions.

Medication that is not listed on the Medical Form, expired, or sent in baggies or weekly dose containers will not be given.

All Staff Members and Campers are required to undergo a lice check two weeks prior to camp and, again, on the morning of camp. The check will be administered by your church’s Camp Coordinator or their representative. All persons must be nit-free in order to attend camp. Any person found to have lice at camp will be sent home; transportation is the responsibility of the church.

Lost and Found •

Please label all items with first and last name. We will do our best to return items to their owner. We will hold all luggage and lost & found items for one week. All items not claimed within one week will be donated to charity.

Media Disclosure •

All campers agree that any media captured (photos, video, audio) is the property of the Oklahoma District Council of the Assemblies of God and can be used for future promotion.

Rules of acceptance and participation in the program are the same for everyone with regard to race, gender, or national origin.

VOLUNTEER STAFF APPLICATION FORM

For Office Use Only

Applications will be returned if any areas are left blank.

Received__________________

All applications should be returned to YOUR Church’s Retreat Coordinator. All individual applicants not attending with a church should submit their application by November 4, 2016.

Bkgd. Check_______________ Approved_________________

Mail to: Oklahoma Children’s Ministries

P.O. Box 13179 Oklahoma City, OK 73113

Name (First, Middle Initial, Last):____________________________________________ DOB:______/______/______ Age:_________ Gender:

Male

Female

Marital Status:

Married

Single

T-Shirt Size: _________________________________

Physical Address:________________________________________________ City:___________________ State:______ Zip:________ Mailing Address:________________________________________________ City:___________________ State:______ Zip:________ Home: (____)_________-_________

Mobile: (____)_________-_________

Business: (____)_________-_________

Email:______________________________________________________________ Preferred Method of Contact:

Phone

Email

Name of Church:____________________________ Church City:______________________ Pastor’s Name:_____________________ Are you a Christian?

Yes, Year? _________

No Baptized in the Holy Spirit?

Yes, Year? _________

No

Do you have any physical handicaps or conditions (including pregnancy) preventing you from performing certain types of activities?

Yes

No If yes, please explain: ____________________________________________________________________________

__________________________________________________________________________________________________________ __________________________________________________________________________________________________________ Have you ever been convicted of a criminal offense (excluding minor traffic violations)?

Yes

No

If yes, include year and explanation: ______________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ Are you willing to abide by the camp policies and procedures, refrain from using alcohol, tobacco, and illegal drugs, be given any position or assignment, be placed in any dorm, and if need be, go beyond the duties of your assigned position?

YES

NO

The information I have provided in this application is correct to the best of my knowledge. I authorize my pastor to give you any information he/she may have regarding my character and fitness for PB&J Retreat, and I release him/her from liability for any damage that may result from furnishing such evaluations to you. Should my application be accepted, I agree to be bound by the Retreat Policies and Procedures. I assume the risk of my actions during the entire time of my service with Oklahoma Assemblies of God Camps. I will refrain from unscriptural conduct, or conduct the camp leadership may feel inappropriate, in the performance of my service. I will fully cooperate in spirit.

I _____________________________________________________, hereby authorize the Oklahoma District Council of the Assemblies of God, Inc. to do a standard background check.

SSN: _________ - _________ - ___________

APPLICANT’S SIGNATURE:___________________________________________________DATE:__________________________

APPLICANT’S Parent/Guardian SIGNATURE (if under 18):_________________________________________DATE:_______________________

Please select all positions for which you are applying.

You may apply for more than one position.

P B & J Retreat

November 18 - November 19, 2016

A Coach leads a group of campers during their time at the retreat. They are responsible for the oversight of the campers assigned to them. Coaches stay in the dorm with the campers and accompany them to the day’s activities.

All coaches must be at least 18 years old.

Support Staff

Support Staff assist with all activities that lend to the facilitation of the camp ministry. Support Staff do not share overnight quarters with campers, but do have opportunity to interact with campers during daytime activities. All support staff must be at least 17 years old. At PB&J Retreat, all support staff serve in Kitchen, Recreation, and Concessions.

Church:________________________________

Coach

Name:_________________________________

General Staff

General Staff lend to the leadership support of the camp operation. General Staff may serve in one of many areas: All general staff must be at least 18 years old.

Girls Dean

Boys Dean

K .P. Director Assistant Director Recreation Director First Aid Staff (Include copy of license) Receptionist

If you are interested in being part of our General Staff, but have questions pertaining to specific duties of a particular position, please contact the OCM office.

Medical Form

CAMP # ___________

***This form is 2 sided***

Office Use Only

This form is required for all campers and staff.

MEDS

To provide enough time for processing, all Medical Forms are due at the time each church sends in their registration to the OCM Office.

Please fill out in INK.

Church City

HOLDS

Church Name

Camper/Staff Name (First, Middle Initial, Last)

Gender (Circle One)

Male

Female

2016-2017 Grade

Date of Birth (mm/dd/yyyy) Age

Address

City, State, Zip

Emergency Contact Information Name:

Relationship:

Cell Phone (

)

Work Phone —

(

)

Home Phone —

(

)

—

If the camper/staff member does not have Health Insurance, please write “N/A” for “Insurance Provider.”

Insurance Provider

Policy #

Physician Name

Phone # (

Allergies (Please check all that apply and list treatment required.)

Type Animal:

Food:_________________ Insect Bites:

Group #

Treatment

)

—

May the staff member/child listed above be given over-the-counter, non-prescription medications or applications, not to exceed recommended dosage for stomach discomfort, burns, cuts, insect bites, rash, scrapes or other minor ailments?

YES

NO

List Exceptions:

Medicine/Drugs: _______________________ _______________________

Plants: Pollen: Other: Other:

Date of Last Tetanus Date of Last Immunization

Both sides of the form must be completed & signed in INK!

CAMPER NAME_____________________________________ CHURCH & CITY________________________________________ ALL MEDICATION MUST BE IN THEIR ORIGINAL CONTAINERS WITH A CURRENT/CORRECT LABEL. Please only send the amount needed for the length of camp.

Pills sent in plastic baggies or weekly dose containers will not be given.

Expired medication will not be given.

All inhalers, nasal sprays, and epi-pens must be in the original box with the prescription label.

(If the box is not available, ask the pharmacy to print a label.)  All camper/staff medications and vitamins must be administered by the First Aid Staff in the First Aid Station.

NO MEDICATION (INCLUDING VITAMINS) WILL BE ADMINISTERED UNLESS LISTED ON THIS SIGNED FORM.     

Name of Medication

Dosage

Time to be Given

How Taken

Comments for First Aid Staff: (Please attach another piece of paper, if more room is needed to list meds or comments.)

MEDICAL RELEASE STATEMENT and Camp Policies and Procedures Agreement For CAMPERS or STAFF MEMBERS UNDER THE AGE OF 18: I, the parent/legal guardian of ____________________________(camper’s/staff member’s name), authorize the camp first aid personnel to administer the medications listed above. I hereby authorize camp personnel to obtain medical care, if necessary. My signature authorizes emergency treatment in the event of illness/injury when I am not immediately available. I understand, if necessary, the camper will be taken to a nearby hospital and will be attended by a physician on call. I further understand that I will be responsible for any medical expenses incurred. I also hereby authorize this document to be released to first responders and emergency personnel. I understand that any person with a fever, rash, pink eye, head lice, or other signs of illness will be sent home. I further understand that parents are responsible for their child’s transportation in the event of an illness or injury. I also agree with and support the enforcement of the Camp Policies and Procedures.

Signature of Parent/Legal Guardian____________________________________________

Date ___________________________________

For STAFF MEMBERS 18 yrs. or Older: I, ____________________________, authorize the camp first aid personnel to administer the medications listed above. I hereby authorize camp personnel to obtain medical care, if necessary. My signature authorizes emergency treatment in the event of illness/injury if I am unconscious or unable to consent to treatment. I understand, if necessary, I will be taken to a nearby hospital and will be attended by a physician on call. I further understand that I will be responsible for any medical expenses incurred. I also hereby authorize this document to be released to first responders and emergency personnel. I understand that any person with a fever, rash, pink eye, head lice, or other signs of illness will be sent home.

I further understand that I am responsible for my own transportation in the event of an illness or injury. I also agree with and support the enforcement of the Camp Policies and Procedures.

Signature of Staff Member_______________________________________________________

Date __________________________________