Volunteer with Us

One Step Closer to Volunteering!

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Which type of volunteer are you?*

Current Address*


Previous Address*


I hereby authorize Indian Hills Camp and its designated agents and representatives to conduct a comprehensive review of my background causing a consumer report and/or an investigative consumer report to be generated for employment and/or volunteer purposes. I understand that the scope of the consumer report/investigative consumer report may include, but is not limited to the following areas: verification of social security number; credit reports, current and previous residences; employment history, education background, character references; drug testing, civil and criminal history records from any criminal justice agency in any or all federal, state, county jurisdictions; driving records, birth records, and any other public records.

I further authorize any individual, company, firm, corporation, or public agency (including Social Security Administration and law enforcement agencies) to divulge any and all information, verbal or written, pertaining to me, to Indian Hills Camp or its agents. I further authorize the complete release of any records or data pertaining to me which the individual, company, firm, corporation or public agency may have, to include information or data received from other sources.

I hereby release Indian Hills Camp, the Social Security Administration, and its agents, officials, representative or assigned agencies, including officers, employees, or related personnel both individually and collectively, from any and all liability for damages of whatever kind, which may, at any time, result to me, my heirs, family, or associates because of compliance with this authorization and request of release.

This screening form is to be completed for any Shiloah Bible Retreat, Inc. position (volunteer or compensated) involving the supervision or care of preschoolers, children and/or youth. This is not an employee application form. This form is used to help the Shiloah Springs Bible Retreat, Inc d.b.a. Indian Hills Camp provide a safe and secure environment for those children and youth who participate in our programs and use our facilities. Individuals considered for a position in the preschool, children and youth ministry reas must be members of Shiloah Springs Bible Retreat,Inc. d.b.a. Indian Hills Camp.

I have read and agree to abide by Shiloah Springs Bible Retreat, Inc.'s policies and materials presented as part of this opportunity to serve. I further agree to submit to Shiloah Springs Bible Retreat, Inc leadership as it relates to my serving.*

Is person completing this form is a minor? If so their parent or guardian must sign below in addition to the minor.*