Wilderness Camp Staff Application

The Wilderness Christian Camp - Staff Application

PLEASE NOTE: This is a lengthy and in-depth application, please allow 20-30 minutes to complete. ***Be prepared to upload a current picture of yourself and to give your salvation testimony.
Full Name*

First NameMiddle NameLast Name
E-mail*
Phone Number:*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Age:*
Date of Birth:*

MonthDayYear
Sex*
Race*
For criminal background check purposes only.
Social Security #:*
For criminal background check and medical emergency.
Current Height
Current Weight
Eye Color
T-Shirt Size (for staff shirts)
Hair Color
Have you accepted Christ as your personal Savior?*

YESNOUnsure
Have you ever been convicted of any misdemeanor or felony?*

YesNo
If yes, please explain:
Have you been baptized by immersion?

YESNO
What church services do you regularly attend?

Sunday SchoolSunday MorningSunday EveningMid-weekYouthOther
List any and all ministries you are currently involved in at your church.
(Example: Sunday School Teacher, Bus Worker, Nursing Home, Usher)
Current Medical Certifications (if any):

CPR/AED - AdultCPR/AED - Child, InfantCPR/AED - Healthcare Provider (Professional Level)First AidLifeguardWilderness First Aid (WFA)Urban First ResponderWilderness First Responder (WFR)EMT-B (VA or National Registry ONLY)EMT-I (VA or National Registry ONLY)EMT-P (VA or National Registry ONLY)PARN/LPN/BSNMDOther (specify in comments section)American Red Cross Instructor
EMT -B/E/I/P Certification #
Other Certification #s
Languages That I'm Fluent In:*

EnglishSpanishGermanFrenchChineseJapaneseAmerican Sign LanguageOther (state below)
Other Language(s):
Position & Availability
Position(s) Interested (choose all that apply)

InternshipGeneral VolunteerCounselorGuideBoys StaffKitchenLaundryNursePreachingTeacher/Class InstructorLife GuardMaintenance and SupportRopes CourseGirls StaffChild and Infant CareJR CounselorAdministrationCDL DriverWherever NeededOther
Are you available all summer?*

YesNoOther
When can you start?*

MonthDayYear
Education and Skills
Have you graduated from High School or have a GED?

YESNOI plan to graduate this Spring
College Information (if applicable):
College Name(s), State(s), number of years attend, Degree(s) or Certifications
Skills - Please evaluate yourself in the following areas (1-5 stars, 1=little to no skill or knowledge and 5=expert or well known):
Archery
Camping
Firearms
First Aid / CPR
Arts and Crafts
Choir or group singing
Solo singing
Skits and Drama
Cleaning
Astronomy
Canoeing
Teaching
Leadership
Following Directions
Swimming
Fire Building
Day Hiking
Backpacking Trips
Bible Studies
Playing Musical Instrument
Basketball
Volleyball
Story Telling
Horseback Riding
Compass Use
Map Reading
Piano
Group Games
Pulling Trailers
Operating Lawn Equiptment
Operating Farm Tractors
Operating Heavy Equiptment
Operating Chain saw
Cooking
Washing Dishes
Handwritting
Spelling
Computer
Experience & Informal Questions
List any camps you have you attended as a camper and for how long
List any camps you have volunteered at or have been staff at (please included amount of time)
What do you plan to give or receive from your experience as a staff member at The Wilderness?*
Briefly explain your outdoor/wilderness skills & abilities or lack of.
How did you learn about The Wilderness Christian Camp?*
What are your current hobbies or interests?*
List any musical instrument you play and comfort and skill level.
List current music artists, groups, or genres you enjoy.*
Do you have a valid drivers license*

YESNONot yet, but plan to have one before camp
When was the last time you talked with someone about Christ?
What Bible translations or versions to you use?*
How regular do you have personal devotions or Bible reading?
Please give your salvation testimony.*
What do you believe the Bible teaches about the topic of speaking in tongues?
Please answer the following questions (be honest and accurate):
Do you believe and practice abstinence before marriage

YESNOI am unsure
Have you used tobacco or alcoholic beverages in the last 12 months?

YESNOI am unsure
Have you used any drug in an illegal way in the last 12 months?

YESNOI am unsure
Have you been accused or convicted of a sex crime or abuse of children?

YESNOI am unsure
Have you intentionally viewed pornography in the last 12 months?

YESNOI am unsure
Have you ever been convicted of a crime?

YESNOI am unsure
References
Please provide at least one professional and one personal reference. Please do NOT use immediate family or relatives.
Professional Reference:*
Name, Company, Relationship, Phone, Email
Personal Reference:*
Name, Company, Relationship, Phone, Email
Reference:*
Name, Relationship, Phone, Email
Church Name, City, and State:
Example: First Baptist, Exampleville, WV
Pastor's Name
Pastor or Church Phone Number

Area CodePhone Number
Family Information
Parent/ Guardian Name (if under 18)

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Phone Number

Area CodePhone Number
How many siblings do you have?
Birth order: I am the ...

1st Born2nd Born3rd Born4th Born5th Born6th Born7th BornOther
I am...

SingleMarriedDevorcedRemarried
Spouse's Name (if married)
Current Photo (required)

(within the last 90 days)
Upload Your Photo*

Upload a File
Please upload a photo of yourself for your application file. Cancelof
Comments or Questions:
Terms:
Terms & Conditions

By clicking "Submit", I attest that all of the information enclosed with my application is correct to the best of my knowledge and The Wilderness Christian Camp has permission to contact my references and perform a background check and a sex offender check.

I understand that serving the Lord at The Wilderness Christian Camp is a privilege and will take commitment and dedication. By submitting this application I agree to uphold high standards of conduct as would be expected by the staff.
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The Wilderness Christian Camp - Staff Application

Position & Availability

Education and Skills

Experience & Informal Questions

References

Family Information

Current Photo (required)

Terms: