Catholic Youth Camp Volunteer Form

Birth Date
Parish Name
Parish City
T-Shirt Size (AS/AM/AL/AXL/AXXL)
Have you completed Protecting God’s Children Program?
1) Virtus Training YesNo
2) Background Check YesNo
3) Code of Ethical Standards YesNo

Please indicate the role/roles in which you are applying and mark any session you are available to volunteer for. Please rank your role choice 1, 2 or 3.

Session Training Session 1 – June 9 - 11 Session 2 – June 12 - 14
Grades Entering 3rd - 6th Grade Entering 7th -12th Grade
Teen Leader Coordinator
Medic Filled Filled
Breakout Presenter
Musician (please check another role as well)
Cabin Leader
Small Group Leader
Have you been on the Leader Team or Counselor at Catholic Youth Camp before? YesNo
If so, which year/years and which positions?
Are you a practicing Catholic and in good standing with the Catholic Church (e.g., regular Mass attendance, private prayer, striving to live a moral Christian life, etc.)?YesNo
I will be present for the scheduled training and duration of the camp session. I will fulfill my CAYOCA Leader Team or Counselor position responsibilities with enthusiasm, integrity, and to the best of my ability. YesNo

Please Note:

Have the Volunteer Reference filled out by one of the following people from your parish/cluster: Priest, Director of Religious Education, Youth Minister or Camp Contact Person. We only need one reference per applicant. Please do not use a family member to fill out your Volunteer Reference. Reference forms can be found online at:

Thank you for volunteering for a role at the Diocese of Sioux City Catholic Youth Camp. We will notify you as soon as we have received all your paperwork and reviewed your application and reference. If you have any questions, please contact Kara Kardell at 712.233.7516 or