AKONGA Application

Name *

First Name Last Name

Birthdate *

Date

Boy/Girl *

E-mail *

Phone Number *

Area Code Phone Number

Do you have the following for communication purposes:

Messenger Facebook Intagram Skype

Address *

Street Address

Street Address Line 2

City Region

Post code Country

Take Photo

Do you have any allergies/dietry needs, medications you are on?

Do you have a criminal record that would not allow you to work with Children? *

NO YES

Do you have a current Police Vetting certificate? *

YES NO, I understand I need a valid Police clearance to volunteer at KVCC

I have experience and/or training in the following:

Because we are a Christian Camp, we care deeply where people are at with God. Can you describe where you are at with your walk with Jesus Christ? *

Write a brief essay to why you want to Intern at KVCC: *

What are things you would want to learn about or grow in if chosen to Intern at KVCC *

How would you think you would cope being away from Family and Friends in a remote place like camp? *

If you can tell us a little but about your interests, passions, dreams and what makes you tick... *

Can you think of anything we should be aware of that could potentially inhibate your time as an Intern? Explain.

Interns will spend a lot of time Studying the Bible; learning and growing...

That excites me That doesnt really excite me I'd rather die I'd rather not say

You will need to provide TWO references for us to contact regarding your personal strengths, attitudes, character and capability: (ie, Teacher, Employer, Pastor, Mentor, etc)

Reference #1

First Name Last Name

Email

example@example.com

Reference #2

First Name Last Name

Email

example@example.com

Parent/Guardian Contact

First Name Last Name

Email

example@example.com

Phone Number

Area Code Phone Number

Parent/Guardian Contact

First Name Last Name

Email

example@example.com

Phone Number

Area Code Phone Number

I understand that this is a volunteer position at Kauaeranga Valley Christian Camp (KVCC). I understand that KVCC is a Christian camp and will adhere to the rules, values and standards of KVCC. I will not hold KVCC responsible for any theft, damage or injury/loss caused while serving at camp. I allow pictures and videos to be used of myself for promotional usage. I allow KVCC staff to drive me from camp to off site activity if needed. I allow KVCC to contact me before, during and after my time serving at KVCC. I allow KVCC trained staff to administer Paracedymol and Panadol. I give consent to KVCC, in case of an emergency, to do the proper procedures for injuries that would result in Emergency services or Hospital visits and agree to pay for the costs associated.

I understand that its my responsibility to the costs associated with transport to Kauaeranga Valley Christian Camp, Thames. I have suffient funds to get myself home.

I understand that the Kauaeranga Valley Internship is a minimum of six (6) months and a maximum of twelve (12) months.

Signature

Clear

Date Signed

Date

At Kauaeranga Valley Christian Camp (KVCC) we strive to offer the best Programmes and facilities we can manage. We care deeply about our volunteers and know that we can not do what we do without them. We have a high expectation on how people conduct themselves while serving at KVCC. We believe in Servant Leadership, and empowering our volunteers to lead with Integrity and Humility. We expect people to join our community and contribute their gifts and talents to Glorify God in all manner of speech and deed.

Thoughts/Comments or questions:

AKONGA -Kauaeranga Valley Christian Camp Internship/Discipleship Application