Youth Application

Checklist for Application: 18 Years and Younger

Submit applications online, email or mail all other materials to ROC Wheels, Attn: Youth ROC, PO Box 11765, Bozeman, MT 59719

Required Items

Youth Application Form – See Below
Essay or resume (not required for returning team members)
- Please include the following information in your essay or resume:
  - Name and age
  - Your strengths and weaknesses
  - Work experience
  - Volunteer and extracurricular activities
  - Volunteer history with ROC Wheels
  - Your reasons for applying to be a ROC Youth Volunteer
  - What you hope to offer the ROC Team and the children affected by disabilities and their families (ex. your talents/gifts/traits/etc.)

Pastor or Employer Letter of Recommendation (not required for returning team members)
- Please provide the professional writing the recommendation, the ROC Wheels email address or mailing address (Youth ROC, PO Box 11765, Bozeman, MT 59719) so they can send the letters directly to ROC Wheels.

Teacher or Academic Mentor Letter of Recommendation (not required for returning team members)
- PPlease provide the professional writing the recommendation, the ROC Wheels email address or mailing address (Youth ROC, PO Box 11765, Bozeman, MT 59719) so they can send the letters directly to ROC Wheels.

**We will notify applicants of their acceptance.**

Trip Fees: TBD

Other Requirements After Application Approval.

Get A Passport – Note: If you don’t have a passport.
Fill out the Personal Covenant and Liability Release Form by clicking Here
Fill out the Parental Consent Form by clicking Here – needs to be notarized
Safety Policy Acknowledgment
Get Vaccinations- Contact the County Health nurse for current vaccination requirements (Page link Here)

Youth Application

Which distribution trip are you applying for?*

Date of Application*

Name*

Parent’s Names*

Students Phone Number*

Parent’s Phone Number*

Student Email*

Parent’s Email*

Address*

City*

State*

Zip Code*

Country*

How do you prefer we connect with you?*

Phone

Passport Number*

Date of Birth*

Citizenship*

Gender*

Male

Female

Name of School Attending*

Adult T-Shirt Size*

How did you become familiar with ROC Wheels?*

Do you speak multiple languages? (include languages)*

Have you ever traveled internationally on a mission/volunteer trip before? If yes, where?*

If yes, tell us about your experience.

Do you have any reason you may have difficulty functioning in a foreign country?*

Have you ever been convicted of a felony? (This is kept private with ROC Wheels staff).*

Rock Wheels is a faith-based organization and chooses to include prayer and worship in trip activities. Are you willing to participate in and/or respect the prayer, praise or worship that are part of the distribution trip?*

Yes

Is there any medical or physical reason you would need to restrict yourself from strenuous activity?*

Do you have any allergies to food, medicine or environment?*

Do you have any dietary restrictions? If so, please specify.*

Name of emergency contact*

Relationship to emergency contact.*

Phone number for emergency contact.*

References*

Name of school or program*

Address of church, school, or employer.*

City*

State*

Zip Code*

Country*

Phone number of reference*

Email for reference*

Signature*

Today’s Date*

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Checklist for Application: 18 Years and Younger

Required Items

Youth Application

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Checklist for Application: 18 Years and Younger

Required Items

Youth Application

Thank You For Sharing

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