camp Lookout summer camp
    ​ returning staff application

    Holston Conference Camp and Retreat Ministries, Inc.

    I. General Information

    II.   Education  ( include   schools   attended   or   attending ):

    III.  Previous employment  at  a  holston  conference  camp

    IV. Present and/or   previous  employment  (list  last  three  positions):

    V. References:

    List three adults (only one person that is related to you) who have definite knowledge of your character and your qualifications for the position for which you are applying. At least one should have definite knowledge of your experience supervising children and/or youth. PLEASE GIVE COMPLETE ADDRESS, INCLUDING CITY AND ZIP CODE. References will be contacted. 

    VI.   religious  activities,  interests,  and  experience

    VIII. School  and  other  leadership:

    IX. CHILD  CARE  EXPERIENCE:

    X. reflective  essay

    XI. Screening

    XII. Personal  Availability

    Prior to a personal interview, each applicant must submit a completed:
    Summer Camp Staff Application
    Volunteer and Hired Staff Disclosure Form (RE Criminal Background)
    Policies Specific to Summer Camp Community (signed to indicate knowledge of content)

    XIII.  Conditions of Employment

    The following must be provided:
    A Criminal Background Check from all counties of residence during the last seven years of adult life
    An Employee Health Form
    US Government I-9 and W-4 Forms
    Your Motor Vehicle Record if you will be involved in camp transportation
    A prescribed training program must be completed prior to service

    Applicant's   Certification

    ​I certify that, to the best of my knowledge and belief, the answers given by me to the foregoing questions and statements made by me in this application (and accompanying resume, if any) are correct and complete.  I understand that misrepresentation or omission of facts in this application may disqualify me from further consideration for employment, and may result in my discharge from employment, if discovered at a later date.
     
    I understand that if I am employed, my employment may be terminated at any time by either myself or Holston Conference Camp and Retreat Ministries, Inc. for any reason, with or without notice.  I agree that, should I be employed, said employment will be at-will and will not be governed by any contract, either express or implied.
     
    I hereby authorize Holston Conference Camp and Retreat Ministries, Inc. or its designee to contact any or all of my references, churches, youth organizations, charities and former employers to inquire about my past job performance, education, personal character and any other topic deemed relevant by Holston Conference Camp and Retreat Ministries, Inc.  I hereby authorize and agree that a criminal background check be conducted.  I further agree that I will hold those individuals and entities who respond to requests for information harmless for any information they provide as a result of such contact, and release them from liability for the result of any such information.  I hereby waive any right that I may have to inspect any information provided about me by any person or organization in the course of complying with this authorization.
     
    I agree to furnish such additional information and complete such examinations as may be required to complete my employment file.  I also expressly consent to submit to any physical examination that may be required of me, including drug and/or alcohol testing upon request both prior to and, if employed, during employment with Holston Conference Camp and Retreat Ministries, Inc.  If I am employed, I understand and agree that I will be bound by the policies of Holston Conference Camp and Retreat Ministries, Inc. ​
Volunteer and Hired Staff Disclosure Form
File Size: 69 kb
File Type: pdf
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Policies Specific to Summer Camp Community
File Size: 22 kb
File Type: pdf
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2017_summer_staff_returning_application.pdf
File Size: 173 kb
File Type: pdf
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