Camp Murray for Youth  

 

Home
Adult Application

Adult Advisor Application Form

Fill this form out on-line and please include an accurate e-mail address.

Full Name Birth Date Gender
Email Address Phone Number Cell Phone
Street Address City State Zip Code
Church Name Church Street Address Years attended
Church City State Zip Code Church Phone
Employer/Contact Name Employer Address
Employer City State Zip Code Employer Phone
Would you be transporting youth
(to, from or at camp)?

If you will be transporting youth, please complete this section concerning
automobile liability insurance. The recommended minimum amount of automobile
personal liability insurance is $100,000.
 
Do you have a current, valid,
driver's license?
License Number State Expiration Date
Policy Holder Name Insurance Company Policy # Expire Date
Are you named as an insured driver on this policy? If no, explain below:
Congregations attended regularly within the past five (5) years, prior to church listed above:
Congregation City, State Years attended
Congregation City, State Years attended
Position(s)
# years
YRUU
Position(s)
# years
SWUUSI
Position/Type Work
# years
Work
Position(s)
# years
Other
Basic Youth Advisor Training
Ministry with Youth Renaissance Module
Leadership Development Conf.
CPR/First Aid Training
Spirituality Development Conf.
Advanced Youth Advisor Training
YRUU Chaplain Training
District Leadership School
List any special training, education, skills abilities and talents:
List any further leadership experience at congregational/district/UUA levels:
  References (no relatives, please).
1.
  Name Phone # Years Known   Relationship
 
  Street Address City State Zip Code
 
  Email Address
 
2.
  Name Phone # Years Known Relationship
  Street Address City State Zip Code
 
  Email Address
 
3.
  Name Phone # Years Known Relationship
  Street Address City State Zip Code
 
  Email Address
Applicant's Statement

First Unitarian Church of Oklahoma City Code of Ethics and
Agreement for Work with Children and Youth

Statement of Position: Adults and older youth in leadership roles in this congregation are in a position of stewardship and play a key role in fostering the spiritual development of both individuals and the community. It is, therefore, especially important that those in leadership positions be well qualified to provide the special nurture, care, and support that will enable children and youth to develop a positive sense of self and a spirit of independence and responsibility. The relationship between young people and their leaders must be one of mutual respect if the positive potential of their relationships is to be realized. Respect on the leader’s part must include recognition of the absolute right of children and youth to the privacy of their bodies and minds.

Statement of Expectation of Behavior: As specified in the First Unitarian Church of Oklahoma City Child and Youth Protection Policy, all compensated and volunteer staff is expected to adhere to the following behavior:

  • Religious Education workers shall not engage in behavior with children or youth that constitutes verbal, emotional, or physical abuse; this includes behavior or language that is personally threatening or demeaning.
  • Religious Education workers shall neither indulge in sexually harassing behavior nor engage in sexual, seductive, or erotic behavior with children or youth.
  • Religious Education workers shall not allow the use of tobacco, illegal drugs, or alcohol or any illegal activities among children or youth, nor shall they use them while acting in the role of Religious Education worker.

Statement of Action: In the case of paid or volunteer workers failing to meet the above expectation, First Unitarian Church of Oklahoma City will take appropriate actions.

Statements of Agreement:
Are you currently under charges for physical or sexual abuse of a child? Yes No
Have you ever been the perpetrator of any physical or sexual abuse of a child? Yes No

I have read and understand the First Unitarian Church of Oklahoma City Code of Ethics. I agree to abide by the provisions of this Code of Ethics and to honor and preserve the trust placed in me by the members of this congregation.
Signed:
Date:
Submission of applicant's name electronically shall represent a valid signature. Check application carefully for accurate information and click on the "Submit" button to complete process.
 

 

Home | Adult Advisor Application