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Home
Blog
About Us
Mission & Values
Facilities
Staff
Accreditation
History
Board of Directors
Driving Directions
Summer Camp
Log In to Ultra Camp
FAQs
What to bring to camp
Retreats
Facilities
Activities
Pricing
Reservations
Forms
Outdoor Adventure
Outdoor Adventure Activities
Outdoor Challenge Video
Special Events
Senior Adult Day
Golf Tournament
Christmas Camp
Get Involved
Give the Gift of Camp
Volunteer at Camp
Capital Campaign
Summer CamP
camp Lookout summer camp 2019
Residential staff application
Holston Conference Camp and Retreat Ministries, Inc.
Type of Position for which you are applying:
*
Hired
Volunteer
Please check all that apply
2019 Summer Camp Positions Available
*
Support Staff
Counseling Staff
Resource Staff
Outpost Staff
Media Director
Aquatics Director
Horseback Director
Director of Counselors
Health Director
Support Staff Director
Property Assistant
Other Position (Specify in Essay)
Please check all positions for which you are interested in applying. Please indicate position preference in the essays below.
I. General Information
*
Indicates required field
Full Name
*
First
Last
T-Shirt Size
*
Birth Date
*
Gender
*
Male
Female
Other
Permanent Address
*
Line 1
Line 2
City
State
Zip Code
Country
Current Mailing Address
*
Line 1
Line 2
City
State
Zip Code
Country
This will be the address to which we mail informational and hiring materials
Phone Number (Home)
*
Phone Number (Work)
*
Phone Number (Cell)
*
Email
*
List Counties and States lived in since age 16:
*
II. Education ( include schools attended or attending ):
High School
*
College
*
Year of Graduation
*
Year of Graduation
*
Degree Expected or Granted
*
Post-Grad Schooling
*
Are you presently enrolled in school?
*
If so, where?
*
Indicate your present grade level
*
III. Previous camp experience
Camper or Staff
*
Camper of Staff
*
Name of Camp
*
Name of Camp
*
Dates
*
Dates
*
IV. Present and/or previous employment (list last three positions):
Dates
*
Employer
*
Address/Phone
*
Nature of Work
*
Dates
*
Employer
*
Address/Phone
*
Nature of Work
*
Dates
*
Employer
*
Address/Phone
*
Nature of Work
*
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.
1. Name
*
First
Last
Position
*
Phone Number
*
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
2. Name
*
First
Last
Position
*
Phone Number
*
Email
*
3. Name
*
First
Last
[object Object]
Position
*
Phone Number
*
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Address
*
Line 1
Line 2
City
State
Zip Code
Country
VI. religious activities, interests, and experience
Where is your church membership?
*
Name, Address, and Phone # of a pastor who can be a reference for you:
*
List any local church involvement (leadership or teaching, etc.):
*
VII. Camp Activities, interests, and skills:
Can you swim?
*
Do you hold current First Aid Certificate? If so, what type?
*
Do you hold current Life Saving, Lifeguarding or Water Safety Instructor Certificate?
*
Do you hold current CPR Certificate? If so, what type?
*
If so, give date and place of certification:
*
Do you hold any other types of certifications (i.e. canoeing, sailing, etc.)? If so, indicate type and dates of certification:
*
Are you a licensed driver?
*
Can you operate a manual transmission?
*
If 21, are you interested in receiving training to qualify as a driver for camp activities?
*
In the following list, please mark those activities you would be interested in leading or assisting with at camp. Mark as many as you would like.
RECREATION
*
Fire-building
Lashing
Orienteering
Night Hike
Outdoor Cooking
Overnight Camping
Ropes & Knots
Mountain Biking
Pitching Tents
Backpacking
Informal Games
Rock Climbing
Caving
Canoeing
Kayaking
Crafts
Nature Study
Snorkeling
Ropes Course/High-Low
Rappelling
Fishing
RELIGIOUS
*
Bible Study
Small Group Worship
Cabin Devotions
Lead Worship
GROUP/LEADERSHIP SKILLS
*
Lead Discussions
Problem Solving
Lead Campfires
Role Playing
DANCES
*
Folk
Square
Group/Energizer
MUSIC/DRAMA
*
Lead Singing
Vocal Solo
Instruments
Drama
VIII. School and other leadership:
Please list school or related groups to which you belong:
*
Leadership Positions or Offices Held:
*
IX. CHILD CARE EXPERIENCE:
List and describe any experience you have had caring for or supervising children and/or youth:
*
X. Descriptive Information
Please answer the following questions (upload a separate document to submit your responses.)
1. Describe your Christian faith understanding and experience.
2. What contributions do you think a well-run Christian camp can make in the life of a young person?
3. What are your goals for the summer?
4. What do you consider to be your main qualifications for the position for which you are applying?
5. Write a brief biographical sketch including particular information that might have a bearing on the position(s) for which you are applying (specify preference for available positions here.)
Upload File to Submit Responses
*
Max file size: 20MB
XI. Screening
Do you have any criminal convictions for child abuse of sex-related crimes?
*
If yes, please explain:
*
Have you read and signed the Volunteer and Hired Staff Disclosure Form?
*
Yes
No
The Volunteer and Hired Staff Disclosure Form is located at the bottom of the page. Please download, read, sign, and email the form back to molly@camplookout.com with your name in the subject.
Do you have a social networking website (Facebook, Instagram, etc.)?
*
Yes
No
Have you read and signed the Policies Specific to Summer Camp Community?
*
Yes
No
The Policies Specific to Summer Camp Community Form is located at the bottom of the page. Please download, read, sign, and email back to molly@camplookout.com with your name in the subject.
If so, please provide your URL address so that your site(s) can be included in the screening process. A "friend" request will be sent to your site in the name of the camp to which you have applied or from a full-time staff member.
*
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)
Please indicate when and where you are available for an interview:
*
If accepted for employment, what are the dates you could work?
*
Format your response: From ________To ________
If accepted for volunteer service, what week(s) do you wish to volunteer?
*
Are there any times that you know you need to be absent from work?
*
Yes
No
If so, please give details:
*
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.
Date
*
Applicant's Signature
*
Submit Application
Volunteer and Hired Staff Disclosure Form
File Size:
69 kb
File Type:
pdf
Download File
Policies Specific to Summer Camp Community
File Size:
22 kb
File Type:
pdf
Download File
2019_summer_camp_staff_application.pdf
File Size:
210 kb
File Type:
pdf
Download File
