New Staff Application

PERSONAL INFORMATION
Name First Last
Gender Male Female
Age
Cell Phone - (###) - ### ####
Home Phone - (###) - ### ####
Home Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Email
Facebook
Year completed in college when camp starts Freshman Sophmore Junior Senior N/A
College or high school now attending/attended
Major
Minor
College Phone - (###) - ### ####
Your mailing address at college
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Please list all previous addresses over the last 7 years
Have you ever been convicted of a traffic violation other than parking tickets within the last five years? Yes No
If you answered yes to previous question, please explain.
Special training or abilities
If you could choose any career, regardless of pay, what would you choose?
REFERENCES

Please be certain to provide the most current information on your reference. Personal references should not be family members.

Personal references must be completed with either an address or email contact.

Applications with incomplete references will not be processed. The pastor reference should be someone who knows you and is willing to give you a reference, not necessarily the senior pastor. If you are not attending church, please put "Do not attend" in the church section.
Pastor First Last
Church
Pastor's Phone - (###) - ### ####
Pastor's Email
Church presently attending
How long?
Current employer First Last
Company
Phone - (###) - ### ####
Email
Personal Reference First Last
Phone - (###) - ### ####
Email
Past Employer First Last
Company
Phone - (###) - ### ####
Email
Personal Reference First Last
Phone - (###) - ### ####
Email
STATE OF THE HEART

Please answer the following questions; be honest and authentic.
If you were to meet God today, what would you say to Him if He asked you, "Why should I allow you into heaven?"
Briefly summarize the plan of salvation.
What are you currently doing to serve Jesus and grow closer to Him?
What does integrity mean to you?
What does it mean to be under the authority of someone?
What makes you a trustworthy person?
List any special abilities that would enhance the summer camp experience. (play an instrument, excel in a sport, pursue a unique hobby, have a special interest, etc...)
What do you hope to gain from working at camp for the summer?
Describe any physical, emotional or spiritual issues that could hinder your success at camp.
Rate how well you have lived out your faith within the past year. On a scale from 1-10, 10 means that God is living big in you and those around you would testify to this, and 1 means your "faith" has been dormant and lifeless. Explain your answer.
CERTIFICATIONS

Please provide copies of certifications during interview. If you do not have CPR or First Aid certification you will need to acquire certification. We offer it prior to training. If you are unable to attend, you must obtain it before employment.
I have the following certifications (list expiration below) CPR Lifeguard First Aid WSI
CPR expiration
Lifeguard expiration
First Aid expiration
WSI expiration
Other Certifications (List Expiration as well)
I am interested in receiving information on First Aid and CPR classes offered at Camp Carl prior to training week and understand that my employment is pending my certification. I understand that I am responsible for the cost of the class. (Approx. $45.00 for both certifications) Yes No
CAMP CARL SUMMER POSITIONS

Everyone is paid $35.00 per day during training week. You are not paid during specific specialist training. Your day rate will be determined at the close of training and will be based on experience, certifications, and ability. We are currently working on the qualifications for the pay range. The pay range is $35.00 to $50.00 per day.
I have read the Statement of Faith and the Leadership Agreement and will support Camp Carl's positions. Yes No
I have reviewed the job descriptions on the website and understand the position description. Yes No
If you do not understand the positions, please list any questions you have.
Team Selection: First Preference
Team Selection: Second Preference
Shepherd or Specialist Shepherd Specialist
If you would like to be a Shepherd, what teaching experience do you have?
If you would like to be a Specialist, what is your first preference?
If you would like to be a Specialist, what is your second preference?
If you would like to be a Specialist, please list the certifications you have that apply.
GENERAL INFORMATION

The mission of Camp Carl is as follows:
"TO PROVIDE AN EXCELLENT CAMP EXPERIENCE FOR PEOPLE TO DISCOVER JESUS CHRIST AND MAKE A DIFFERENCE IN THEIR WORLD"
If asked to be a part of the team for the summer of 2010, you will need to assist in accomplishing this mission.

SUMMER BONUS: You may request one week off (without pay) during the summer. If you choose to work the entire summer you will receive a four day bonus. The following conditions apply:
1) No time-off for any reason
2) Refers to the 9 weeks of summer camp plus training

Questions regarding vacation time: Your vacation request is subject to approval and will determine your cabin assignment.
Are you willing to forego time off and commit to the whole 9 weeks plus training for the summer? Yes No
I will need one week of vacation, but will be available for training week and the first week of camp. Yes No
If you answered yes, please list your first and second preferences for which week you would like to take your vacation.
Would you be willing/able to work at camp before or after the scheduled camp weeks? Yes No
Are you able to attend all the days for training? (Attending training week is critical for employment) Yes No
If no, please explain. (Minor exceptions are made for training week depending on frequency of absence and reason)
Please answer the following questions:
Have you ever been physically or sexually abused? Yes No
Have you ever been accused of abusing anyone sexually? Yes No
Have you ever been charged with child abuse or a crime involving actual or attempted sexual or physical abuse? Yes No
Please list any physical challenges or mental conditions that would affect your responsibilities at camp.
If you are currently infected with any communicable disease, aside from general cold or flu, please list them here.
***The Chapel***
Camp Carl
Release Authorization

I understand that if offered a position, it will be mainly that of ministry. A modest salary will be paid and determined based on my skill, certification, experience, and cooperation. In addition, room and board will be provided throughout the week, with the exception of some support positions. I understand that I am to be employed on an "at will" basis and that I may be discharged at any time for any reason. I certify that the facts contained in this application are true and complete to the best of my knowledge and that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed on this document to give any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and I release all parties from all liability for any damage that may result from furnishing same to you.

1) In connection with my application for service at Camp Carl, I understand that an investigative report may be requested that will include information as to my character. I understand that as directed by Chapel policy and consistent with the job described, Camp Carl may be requesting information from public sources in regards to a criminal background check and driving record.

2) I acknowledge that a telephonic facsimile (FAX) or photographic copy shall be as valid as the original. This release is valid for most federal, state, and county agencies.

3) I hereby authorize, without reservation, any law enforcement agency, contacted by Protect My Ministry, or its agent, to furnish the information described in Section 1. The following information is required by law enforcement agencies and other entities for positive identification purposes when checking public records. It is confidential and will not be used for any other purposes. I hereby release the employer and agents and all persons, agencies, and entities providing information or reports about me from any and all liability arising out of the requests for or release of any of the above-mentioned information or reports.

I, the undersigned, state that the information provided in this application is true and accurate. I understand that if offered a position, I will be responsible for knowing and following camp policies and procedures. I agree to live a lifestyle that is exemplary, realizing my responsibility before God as a role model to young people (as detailed in the Leadership Agreement).
I have read and agree with the release authorization. Yes No
Name First Last
Today's Date / MM / DD YYYY

New Staff Application

New Staff Application

PERSONAL INFORMATION

REFERENCES

STATE OF THE HEART

CERTIFICATIONS

CAMP CARL SUMMER POSITIONS

GENERAL INFORMATION

***The Chapel*** Camp Carl Release Authorization

The Chapel
Camp Carl
Release Authorization