Name

First Name

Last Name

Preferred Name

Gender

Male

Female

Age

Date of Birth

YYYY

Phone Number

Email Address

Year Level at School/Occupation

Medical and/or Dietary Requirements

When, How and Why did you become a Christian?

In your opinion, what does it mean to be a Christian?

How often do you attend church, what church do you go to and how long have you been attending that church?

What are some areas of church involvement you participate in, particularly any leadership roles?

Why do you want to volunteer in a leadership role for Actionzone Camps?

What personal traits qualify you to do this role?

If this is your first time applying, please list any experience that might be relevant?

If you have been before, what makes you want to come back?

If you would like to apply to be on the music team, what instrument can you bring and play?

If you would like to run a game or activity, what would this be?

Referee No.1

Name

First Name

Last Name

Phone Daytime

Phone Nighttime

Relationship to you

Referee No.2

Not a relative or family member

Name

First Name

Last Name

Phone Daytime

Phone Nighttime

Relationship to you

Thanks so much for you time in filling this out.

It is super helpful for us to know these things about you and to make sure we have the best fit for our youth that attend as campers.

If you are 18 or over, you will need to fill out our Police Check form.