Name
*
First Name
Last Name
Middle Initial
*
Email
*
Phone
*
(###)
###
####
Emergency Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Birthdate
*
MM
DD
YYYY
Gender
*
Male
Female
Marital Status
*
Married
Single
Other
What is the best time of day to reach you?
Sexual Conduct Policy
*
It is the policy of Shiloh Bible Camp to forbid any form of sexual activity, whether physical or
verbal between campers, staff and campers, or unmarried staff. Sexual activity is described as
any activity, whether physical or verbal, which is intended to produce or derive sexual
stimulation or pleasure. Any such activity by staff could result in immediate dismissal, and in
the event of staff/camper involvement, could also result in criminal charges being filed. If the
applicant is under 18 their parent/guardian must sign for them.
Do you understand that Shiloh Bible Camp Requires a background check on all of it’s
volunteers? You will receive a link to complete this in the next week or so. It will cost $22 and
last for 3 years. If you have a current background check and do not want to complete another
one, let us know in the comment section. You will receive an email requesting a copy shortly.
Emergency Contact Name 1
*
First Name
Last Name
Emergency Contact 1 Phone
*
(###)
###
####
Emergency Contact 1 Email
*
Emergency Contact Name 2
*
First Name
Last Name
Emergency Contact 2 Phone
*
(###)
###
####
Emergency Contact 2 Email
*
List Medical Insurance information here:
Primary Care Physician Information here:
Medical Release
*
In case of medical emergency, I understand that Shiloh Bible Camp personnel need the
completed Emergency Authorization Form to authorize treatment. By checking the box below, I
am agreeing to fill out this form and sign it.
Are you a believer in Jesus Christ, that he died and rose again in order to save us from our sin, and that He is coming again someday?
Please share the testimony of how you became a Christian.
How would you describe your current relationship with God?
How would you explain the message of salvation to a camper?
List any camp or ministry work experience you may have?
What experience do you have working around children?
Can you describe your views on Pre-Marital Sex, Christians dating non-Christians, and Abortion?
After reading our statement of faith, do you agree with it and are you willing to NOT teach anything that contradicts it?
What do you understand the purpose of Shiloh Bible Camp to be?
Church Name
Church Phone Number
How often do you attend?
List any groups, bible studies, or ministries that you are currently apart of:
Are you currently (or have been recently) been under church discipline? If so, please explain.
Reference 1 Name
*
First Name
Last Name
Reference 1 Phone
*
(###)
###
####
Reference 1 Email
*
Reference 2 Name
*
First Name
Last Name
Reference 2 Phone
*
(###)
###
####
Reference 2 Email
*
Additional Comments
