First Time Summer Staff Application

Full Name:

Home Phone:

Cell Phone:

College Address:

College Phone:

College Email:

Parent/Guardian Names:

Parent/Guardian Home Phone:

Parent/Guardian Work Phone:

Home Church:

Denomination:

Pastor:

Dates available for employment this summer:

Please indicate what date you will be able to start through the date you are no longer able to work. Also be sure to include any dates in between in which you will be unable to work

Signature :

please type name in place of signature after reading and agreeing to the following: I understand the above statements and hereby give the Executive Director of Camp Friedenswald and Camp Friedenswald, permission to obtain and maintain in my personnel file my complete criminal record obtained from my local law enforcement agency. I recognize that the organization to which this application is being submitted is relying on the information contained herein. Accordingly, I attest and affirm that all of the information that I have provided is absolutely true and correct. I authorize the organization to contact any person or entity listed in this application, and I further authorize any such person or entity to provide the organization with information, opinions, and impressions relating to my background or qualifications. I voluntarily release the organization and any such person or entity from liability involving the communication or information relating to my background or qualifications. I further authorize the organization to conduct a criminal background investigation if such a check is deemed necessary. I agree to abide by all policies and procedures of the organization, and to protect the health and safety of the children/youth at all times.

Date of Birth:

Home County:

Witness:

Date:

Applicant Signature:

please type in your name in place of a signature after reading and agreeing to the following: If I am accepted on the staff, I agree to abide by the established policies and procedures of Camp Friedenswald, as will be outlined during staff orientation. I will consider my assignment a call from God to serve in church camping ministry. I accept this call knowing that camping involves hard work, long hours, with unforeseen challenges and rewards. I understand that I will be living and working with others, and commit myself to the principles of community, including respect for others, accountability, and direct communication. I will seek to nurture my Christian faith, so that Christ can be reflected through me to others. I understand that at any time if my conduct and/or attitude are harmful to the programs, facilities, or environment of Camp, either in the performance of duties, or due to inappropriate influence on other staff and campers, that my services will be terminated. Furthermore, use of alcohol, tobacco, or illegal substances during the work week is subject to immediate dismissal.

If we are unable to place you in a position at Camp Friedenswald, may we refer your application to Amigo Centre, our sister camp?: *

	1	2	3	4	5
Activity Coordinator
Food Service Manager
Head Counselor (1 male, 1 female)
Waterfront Director
Maintenance
Health Officer
Worship Team

	1	2	3	4	5
Counseling
Maintenance
Food Service
Waterfront
Environment Stewardship

	1	2	3	4	5	6	7	8
High School Camp (grades 9-12)
Primary Camp (grades 1-2)
Junior High Camp (grades 7-8)
Pre-Junior Camp (grades 3-4)
Junior camp (grades 5-6)

	yes	no
Been convicted of an offense other than a minor traffic violation?
Been arrested for any reason?
Engaged in, or been accused of, any child molestation, exploitation, or abuse?

	yes	no
Having any traits or tendencies that could pose any threat to children, youth, or others?
Any reason why you should not work with children, youth, or others?

	yes	no
Did you go to summer camp as a child?
Have you been to Friedenswald before?

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First Time Summer Staff Application