Summer Camp Volunteer

If you are interested in volunteering at our Youth Summer Camp, please complete the form below.

Come Volunteer With Us

First name

Last name

Phone

Cell Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Birthday

This emergency contact information below will be extremely important in the event of an accident or medical emergency.

Primary Emergency Contact Name

Cell Phone

Home Phone

Work Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Relationship

Second Emergency Contact Name

Cell Phone

Home Phone

Work Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Relationship

EDUCATIONAL HISTORY

High School Name, City & State

College Attended

From ______to ______

What degree?

WORK HISTORY

Company Name

Job Title

Dates of employment

Payrate

Company Address

Superviser

REFERENCE

Name

Relationship to Applicant

How many years known?

Thank you! We’ll be in touch.

If you are interested in volunteering at our Youth Summer Camp, please complete the form below.

Come Volunteer With Us

MOUNT MORIAH
COMMUNITY CHURCH-WILSON

Have a testimony to share?

We would love to hear it!